| NPI | 1669969903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY L HUDSON Owner 313-282-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2022-07-21 |