| NPI | 1306366810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SANTOS Executive Director 616-242-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-02-24 |