| NPI | 1720102072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL JOHNSON President 248-758-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-05-29 |