| NPI | 1528359510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ROBERT HARRIS Sole Member 248-885-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |