Organization
ACTIVE HEALTHCARE SUPPLIES, INC
Active
Other names
Active Healthcare Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIAS KABBAN (PRESIDENT)
(989) 550-4035
Entity
Organization
Contact information
Practice address
1080 S VAN DYKE RD, SUITE D, BAD AXE, MI 48413-9635
(989) 269-5400
(989) 269-5420
Mailing address
944 LAKEVIEW DR, HARBOR BEACH, MI 48441-8902
(989) 550-4035
(989) 550-4035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
12/08/2010
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