| NPI | 1205946241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN GUNABALAN President 586-558-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-12-15 |