| NPI | 1386988707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORKY J DAVIS COO 248-896-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |