| NPI | 1447497805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A MEALBACK Representative 989-486-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2012-01-24 |