| NPI | 1215261938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAVONNE M MITCHELL-MONEY Owner 313-965-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2012-06-18 |