| 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 |