| NPI | 1730456278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL FENKELL Managing Member 248-706-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2013-11-14 |