| NPI | 1659544088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KAY HANCOCK Owner 989-799-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI MC 668-510) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2015-04-02 |