| NPI | 1326619008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBBY NWONYE Managing Director 248-890-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 247000000X Technician, Health Information |
| 261QH0100X Clinic/Center Health Service | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-05 |