| NPI | 1336075639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WILL Authorized Official 313-913-2871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-06-23 |