| NPI | 1467675405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FURTAW Account Specialist 231-722-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2009-06-24 |