# CITADEL HEALTH EQUIPMENT CORP.

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

## Provider details

- **NPI number:** 1366687576
- **Authorized official:** MR. JOSE CARLOS RIOS BETANCOURT (OWNER)
- **Authorized official phone:** (734) 347-6646

## Contact information

- **Practice address:** 3606 W STERNS RD, \#392, LAMBERTVILLE, MI 48144
- **Practice address phone:** (734) 347-6646
- **Mailing address:** 3606 W STERNS RD, \#392, LAMBERTVILLE, MI 48144
- **Mailing address phone:** (734) 347-6646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 12/03/2008