| NPI | 1902033525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY LEE COOPER President 248-669-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2019-03-01 |