Organization
FOSTER FAMILY MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA MOORE (PRESIDENT/CEO)
(313) 837-0071
Entity
Organization
Contact information
Practice address
20101 GREENFIELD RD, DETROIT, MI 48235
(313) 837-0071
(313) 837-3323
Mailing address
PO BOX 19244, DETROIT, MI 48219
(313) 837-0071
(313) 837-3323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4220450
—
MI
01
—
540H21765
BCBS DME NUMBER
MI
Enumeration date
08/05/2006
Last updated
11/03/2023
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