| NPI | 1669640058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTEEN K BENCH Office Administrator 231-739-9492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |