| NPI | 1942371893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL BERNARD SINGLETON Owner 313-922-0211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-07-21 |