| NPI | 1780102277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONDEYIA KAYON MORRIS Owner 517-215-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-04-12 |