| NPI | 1417201393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT MOSHER Co Owner 231-932-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 332B00000x) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |