# READYCARE MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1548492085
- **Authorized official:** MR. FRED TROY JOHNSON (PRESIDENT)
- **Authorized official phone:** (248) 854-1475

## Contact information

- **Practice address:** 801 S POLK ST, 428, DESOTO, TX 75115-7573
- **Practice address phone:** (248) 854-1475
- **Mailing address:** PO BOX 2352, DESOTO, TX 75123-2352
- **Mailing address phone:** (248) 854-1475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 801154989 | TX | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 08/18/2009