| NPI | 1952434292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDA LYN LARKIN Billing 616-957-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4301028716) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-04-20 |