| NPI | 1649035437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAIYA DALE Medical Equipment Supplier 248-270-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |