| NPI | 1194401240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SZAGESH Manager 989-277-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-01-14 |