NPI | 1528285111 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY STEPHEN BISMACK President And C.E.O. 248-577-5670 |
Organization Subpart ? | No |
Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Additional Taxonomies | 251E00000X Home Health |
251F00000X Home Infusion | |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2022-10-12 |