| NPI | 1932266079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN LYNNE BENNAGE CEO 248-808-1768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2022-07-21 |