| NPI | 1205004918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA K HURTUBISE Business Office Supervisor 231-739-9492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-12-12 |