| NPI | 1780341784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB VENEMA Credentialing 616-392-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |