| NPI | 1184738817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED TROY JOHNSON Chairman/CEO 248-854-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |