| NPI | 1619678851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TURNER Representative 313-422-3289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| 333300000X Emergency Response System Companies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 335G00000X Medical Foods Supplier | |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-06-26 |