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Organization
METRO DETROIT RESPIRATORY HOME CARE
Active
Organization
METRO DETROIT RESPIRATORY HOME CARE
Active
Other names
metro home medical suppty
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILBERT FRANKLIN SMALL (PRESIDENT)
(313) 863-7711
Entity
Organization
Contact information
Practice address
16909 LIVERNOIS AVE, DETROIT, MI 48221-3058
(313) 863-3710
Mailing address
16909 LIVERNOIS AVE, DETROIT, MI 48221-3058
(313) 863-3710
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883360
—
MI
Enumeration date
09/25/2006
Last updated
09/06/2023
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