| NPI | 1356596860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M DROOMER Office Manager 810-733-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI MI002793) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |