Organization
DEARBORN MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM BOUHACHEM (CEO)
(313) 415-4667
Entity
Organization
Contact information
Practice address
10645 W WARREN AVE, DEARBORN, MI 48126-1540
(313) 415-4667
(313) 581-8377
Mailing address
10645 W WARREN AVE, DEARBORN, MI 48126-1540
(313) 415-4667
(313) 581-8377
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
09/11/2025
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