| NPI | 1790047181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DAVIDSON Managing Member 616-356-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 1727) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-08-23 |