| NPI | 1386122059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE R. WILLIS Managing Member 248-632-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |