| NPI | 1982993200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZIN K YALDO President 313-278-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |