| NPI | 1891778502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MAZUREK General Manager 313-359-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI A ME 0155462) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2008-05-01 |