| NPI | 1730554205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVOHN ROWSER Owner 248-417-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-10-17 |