| NPI | 1760898522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON AVERY CEO/Authorized Official 313-974-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |