Organization
JOE'S MEDICAL SUPPLIES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WISAM KOSHO (OWNER)
(586) 945-5802
Entity
Organization
Contact information
Practice address
18647 LIVERNOIS AVE, STE C, DETROIT, MI 48221-2256
(586) 945-5802
Mailing address
18647 LIVERNOIS AVE, STE C, DETROIT, MI 48221-2256
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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