is a Nursing Facility Supplies in , . practices all healthcare services and medical treatments related to Nursing Facility Supplies. The NPI Number for is 1992855316. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1992855316 |
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| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
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| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility Supplies |
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| Taxonomy | 332Bn1400X |
| Licence No | 134160 |
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Definition: Durable medical equipment and supplies for nursing facility residents like beds, lifts, and wheelchairs prescribed by providers. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4406078 | MI | -- | |
| 9903 | MI | BCBSM | |
| 0A30320 | MI | BCBS DME P&O |
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