is a Nursing Facility Supplies in , . practices all healthcare services and medical treatments related to Nursing Facility Supplies. The NPI Number for is 1174673594. 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 | 1174673594 |
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| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
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| City | |
| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility Supplies |
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| Taxonomy | 332Bn1400X |
| Licence No | 384020 |
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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 |
|---|---|---|---|
| 4410508 | MI | -- | |
| 9902 | MI | BCBSM | |
| 0C80324 | MI | BCBS DME P&O |
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