| NPI | 1487981676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ZALDOKAS Manager Credentialing/Enrollment 517-355-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |