# MOBILE RESPIRATORY AND ANCILLARY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043574858
- **Authorized official:** MR. MICHAEL JOHNSON (OWNER)
- **Authorized official phone:** (313) 926-1526

## Contact information

- **Practice address:** 3330 FULLERTON ST, DETROIT, MI 48238-3317
- **Practice address phone:** (313) 926-1525
- **Mailing address:** 3330 FULLERTON ST, DETROIT, MI 48238-3317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2278G1100X | General Care Certified Respiratory Therapist | — | NULL | Yes |
| 2278G1100X | General Care Certified Respiratory Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2012
- **Last updated:** 06/26/2012