| NPI | 1518936202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZON JOHNSON President 248-395-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-01-19 |