| NPI | 1922278209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WHITE Office Manager 269-968-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |