| NPI | 1346478740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ST. LOUIS President 248-757-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-07-06 |