| NPI | 1841871761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VAN VLIET Owner 734-207-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |