| NPI | 1720067515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT BOGAN CEO 734-425-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5306003396) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-04-18 |