| NPI | 1194238642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANGELO SHATHAYA President 248-613-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |