| NPI | 1992405062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLES ANTHONY-ISAAC FREDERICK Chief Executive Officer 248-798-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |