| NPI | 1295280048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH M FAZIO President/CEO 810-516-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5306004699) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |