| NPI | 1912092073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN TERWILLIGER President 734-522-8531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-09-23 |