NPI | 1992972723 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH FASSE President 586-755-3830 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
335E00000X Prosthetic/Orthotic Supplier | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2008-05-12 |
Last Update Date | 2018-09-05 |