| NPI | 1588662662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA I ILYASOV President 248-968-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2013-11-12 |