Organization
ALICE CAROLE SMITH
Active
Other names
Diabetic Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CAROLE SMITH R.N., B.S. (OWNER)
(269) 383-2350
Entity
Organization
Contact information
Practice address
1406 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1371
(269) 383-2350
Mailing address
1406 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1371
(269) 383-2350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1957419
—
MI
01
—
OC90305
BLUE CROSS
MI
Enumeration date
12/12/2007
Last updated
03/17/2008
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