| NPI | 1831554732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI L WILSON President 231-935-8432 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2024-04-08 |