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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
MR. STEPHEN W NYHUIS (PRESIDENT)
(616) 247-3900
Entity
Organization
Contact information
Practice address
4120 STADIUM DR, KALAMAZOO, MI 49008-1426
(269) 372-1628
(269) 372-4664
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
L2096486
MI
Other
Enumeration date
02/07/2012
Last updated
08/11/2016
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