| NPI | 1730955949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN SABAH TOMA Director 248-470-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |