| NPI | 1457867574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN GERARD FIEMA CFO 734-241-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QP3300X Clinic/Center Pain | |
| 261QR0800X Clinic/Center Recovery Care | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |