NPI | 1659632370 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILL FOSSUM Regional Manager 586-991-5964 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-06-18 |