| NPI | 1982968087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE DAVIDSON Managing Member 616-356-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 5014) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2013-01-17 |