| NPI | 1679881684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERYCEL DIPLOMA FERNANDEZ Vice Pres./Owner 248-336-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2022-07-21 |