| NPI | 1245823392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAYLA MCMATH Owner 616-916-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-18 |