| NPI | 1780156968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARSKE Office Manager 517-278-3293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |