| NPI | 1750657821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PHILLIPS President 313-345-4449 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5901001422) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |