Organization
JECI MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E EZURUONYE (PRESIDENT)
(248) 423-8220
Entity
Organization
Contact information
Practice address
29350 SOUTHFIELD RD, SUITE 117, SOUTHFIELD, MI 48076-2053
(248) 423-8220
(248) 423-8377
Mailing address
29350 SOUTHFIELD RD, SUITE 117, SOUTHFIELD, MI 48076-2053
(248) 423-8220
(248) 423-8377
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4882250
—
MI
Enumeration date
05/31/2006
Last updated
04/02/2008
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