NPI | 1699710376 |
---|---|
Entity Type | Organization |
Authorized Contact | OFFIONG OKON OFFIONG Director 248-423-3093 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
Enumeration Date | 2006-06-18 |
Last Update Date | 2022-07-21 |