| NPI | 1275260960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL I PANIK Owner 313-770-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |