| NPI | 1447207204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYLA REGENIA CLARK Owner 313-262-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 332B00000X) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MI 332BX2000X) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |