| NPI | 1649406059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS BERKOVICH Manager 248-539-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |