| NPI | 1790538411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN FRASCONE Medical Director 586-725-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2025-05-17 |