| NPI | 1598929523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYA WILLSON Compliance COO Rdinator 586-754-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |