| NPI | 1922472356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENITH BERNARD LEWIS Chief Operating Officer 248-470-9520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |