| NPI | 1710136569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE LYNN ROSE Vice President 734-422-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2009-08-07 |