| NPI | 1386642338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMINA LATIF Director 734-552-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 273Y00000X Rehabilitation Unit | |
| 291U00000X Clinical Medical Laboratory | |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |