Organization
1ST CHOICE HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY A. CALDWELL (MGR)
(313) 837-0100
Entity
Organization
Contact information
Practice address
20101 GREENFIELD RD, DETROIT, MI 48235-1872
(313) 837-0100
Mailing address
20101 GREENFIELD RD, DETROIT, MI 48235-1872
(313) 837-0100
(313) 837-1955
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275737447
PPOM
MI
01
—
47932
HEALTH PLAN OF MICHIGAN
MI
05
—
5227170
—
MI
01
—
54-0-H2-3355-0
BCBSM
MI
Enumeration date
06/12/2007
Last updated
05/16/2008
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