| NPI | 1740648435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EDWARD KATSCHANOW Sole Member 248-250-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |