| NPI | 1750247466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE XAVIER LANIER Manager 313-732-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-12-27 |
| Last Update Date | 2025-12-27 |