Organization
FAVOR MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S EKPO (PRESIDENT)
(313) 273-5759
Entity
Organization
Contact information
Practice address
15730 WEST SEVEN MILE ROAD, FAVOR MEDICAL SUPPLIES LLC, DETROIT, MI 48235
(313) 273-5759
(313) 273-3022
Mailing address
15730 WEST SEVEN MILE ROAD, FAVOR MEDICAL SUPPLIES LLC, DETROIT, MI 48235
(313) 273-5759
(313) 273-3022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-52160200
—
MI
Enumeration date
05/21/2007
Last updated
08/25/2009
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