| NPI | 1417720046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN JOSEPH KOWALSKI Member 810-623-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-10-27 |