| NPI | 1881741312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANJANA BASU Administrator 248-880-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-03-19 |