| NPI | 1639689854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADI H MANSOUR Owner/President 586-323-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |