| NPI | 1194574871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIK BAYDOUN Authorized Official 313-670-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |