| NPI | 1710294103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN ROLANDO QUEZADA President 248-542-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |