| NPI | 1932157443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL M JOHNSON President 248-758-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |