| NPI | 1548492085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED TROY JOHNSON President 248-854-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 801154989) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |