NPI | 1497007595 |
---|---|
Entity Type | Organization |
Authorized Contact | DALLAS POWERS Managing Partner 616-835-3304 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 212.000175) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 212.000175) |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 212.000175) | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 212.000175) | |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |