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Organization
AIRWAY OXYGEN, INC.
Active
Organization
AIRWAY OXYGEN, INC.
Active
Parent organization
GRANITE HOLDINGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANITE HOLDINGS INC
Authorized official
STEPHEN W NYHUIS (PRESIDENT)
(616) 532-2375
Entity
Organization
Contact information
Practice address
1804 E CENTER ST, WARSAW, IN 46580-3604
(574) 268-0042
(574) 268-0084
Mailing address
PO BOX 9950, WYOMING, MI 49509-9918
(616) 247-3900
(616) 247-0776
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
08/11/2016
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