| NPI | 1598930968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA V SCOTT Practice Manager 810-606-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-01-21 |