| NPI | 1528070976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE IDIONG Owner/Manager 248-552-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |