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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GAIL BETTS (OWNER)
(313) 341-5820
Entity
Organization

Contact information

Practice address
17200 JAMES COUZENS FWY, DETROIT, MI 48235-4146
(313) 341-5820
Mailing address
17200 JAMES COUZENS FWY, DETROIT, MI 48235-4146
(313) 341-5820

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary

Other

Enumeration date
01/09/2026
Last updated
01/09/2026
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