| NPI | 1841770203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS LEDUC CEO 586-808-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: HI 4208755) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |