| NPI | 1700187705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY LYNN WANSHON Owner 734-756-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2010-11-06 |