| NPI | 1730432246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET COLLEEN CONRAD Owner/President 517-817-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |