# VITALCARE HOME MEDICAL EQUIPMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McLaren Home Medical Equipment
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376821470
- **Authorized official:** JULIE BRYAN (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (231) 627-2031

## Contact information

- **Practice address:** 994 S MAIN ST, CHEBOYGAN, MI 49721-2265
- **Practice address phone:** (231) 627-7157
- **Practice address fax:** (231) 597-8202
- **Mailing address:** 761 LAFAYETTE AVE, CHEBOYGAN, MI 49721-2117
- **Mailing address phone:** (231) 627-7157
- **Mailing address fax:** (231) 597-8202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2011
- **Last updated:** 12/19/2017