| NPI | 1699298307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA WALSH Authorized Official/Operations Mgr 248-509-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2019-12-16 |