| NPI | 1629256169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAY PLAS Manager 248-620-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |