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 |