| NPI | 1518356567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILLIAN PERALTA President 248-855-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2021-08-19 |