| NPI | 1770839359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIESHA H. HINTON Owner 734-635-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |