Organization
INNOVATIVE CONCEPTS
Active
Other names
MIDWEST LIFTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOONE S. KOWALIS (PRESIDENT)
(734) 542-4287
Entity
Organization
Contact information
Practice address
15752 OAKHILL COURT, LIVONIA, MI 48154
(734) 542-4287
(734) 542-4289
Mailing address
15752 OAKHILL COURT, LIVONIA, MI 48154
(734) 542-4287
(734) 542-4289
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323939
—
OH
05
—
4431900
—
MI
Enumeration date
05/03/2007
Last updated
08/22/2020
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