| NPI | 1508289547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAWANNE RUTUES-BURNS Owner 313-694-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |