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Organization
MEGAONEHEALTH
Active
Organization
MEGAONEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJIM MARK M.D (PRESIDENT/CEO)
(313) 485-1690
Entity
Organization
Contact information
Practice address
18317 W 13 MILE RD, SUITE # 2, SOUTHFIELD, MI 48076-1150
(313) 485-1690
Mailing address
18317 W 13 MILE RD, SUITE # 2, SOUTHFIELD, MI 48076-1150
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
12/25/2007
Last updated
01/02/2008
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