| NPI | 1992371892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE BRYANT CEO 313-205-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |