NPI | 1265609101 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN M DIMARTINO President 269-968-8183 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: MI 4901002999) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2009-12-17 |