| NPI | 1255422705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LYNN LUDY Administrator Manager 586-773-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |