| NPI | 1326180407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD CORNELIUS President 248-886-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 01-1674400) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2010-11-30 |