| NPI | 1760523336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JEAN FITZGIBBON Office Manager 734-453-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4901002510) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-12-22 |