| NPI | 1669216719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH BROWN COO 517-548-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |