| NPI | 1386033058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOHN CARROLL President 586-242-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5101013938) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |