Organization
COMPREHENSIVE DIABETIC SUPPLIES, LLC
Active
Other names
Comprehensive Diabetic & Nutrition Education, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY QUILLIAM (MANAGER)
(586) 585-1540
Entity
Organization
Contact information
Practice address
21541 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2207
(586) 585-1540
(586) 585-1537
Mailing address
21541 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2207
(586) 585-1540
(586) 585-1537
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/24/2010
Last updated
12/28/2012
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