| NPI | 1366285694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RANDALL Director 248-577-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |