Organization
HARBOR OXYGEN OF SOUTHEAST MI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BURRELL (PRESIDENT)
(248) 446-6114
Entity
Organization
Contact information
Practice address
29454 HAAS RD, WIXOM, MI 48393-3022
(248) 446-6114
(248) 446-6115
Mailing address
29454 HAAS RD, WIXOM, MI 48393-3022
(248) 446-6114
(248) 446-6115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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