| NPI | 1205163110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C IVERSON President 248-895-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |