Organization
CARE SOURCE, INC
Active
Other names
Metron Health Care Products
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL ROY MOORE (GM)
(616) 957-1490
Entity
Organization
Contact information
Practice address
14245 NORTHLAND DR, BIG RAPIDS, MI 49307-2369
(231) 592-0922
(231) 592-0021
Mailing address
14245 NORTHLAND DR, BIG RAPIDS, MI 49307-2369
(231) 592-0922
(231) 592-0021
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883950
—
MI
Enumeration date
09/21/2006
Last updated
07/21/2022
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