| NPI | 1912075748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRVET N MAKKI Manager 313-357-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-04-13 |