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Organization
HOMEDCO INC
Active
Organization
HOMEDCO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELHASAN OTR (OWNER)
(313) 386-0224
Entity
Organization
Contact information
Practice address
6852 ALLEN RD, ALLEN PARK, MI 48101-2008
(313) 386-0224
(313) 386-0225
Mailing address
6852 ALLEN RD, ALLEN PARK, MI 48101-2008
(313) 386-0224
(313) 386-0225
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4845274
—
MI
01
—
540H227740
BCBSM
MI
Enumeration date
05/14/2007
Last updated
04/11/2011
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