| NPI | 1972791549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A NEWTON Office Manager 248-312-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI TS001984) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-09-13 |