| NPI | 1760678254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY GASKINS General Manager 248-338-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI S) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2022-07-21 |