| NPI | 1679731426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA HOLLISTER Facility Director 269-651-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI TN001392) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2014-06-23 |