| NPI | 1851900054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURAH CARLETA TOLBERT CEO 248-662-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |