Organization
AMERICAN DURABLE MEDICAL EQUIPMENT AND SUPPLIES LLC
Active
Other names
American DME & Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MFON OWOROETOP (PRESIDENT/CHIEF EXECUTIVE OFFICER)
15868631840
Entity
Organization
Contact information
Practice address
21901 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2217
(586) 863-1840
(586) 863-1841
Mailing address
21901 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2217
(586) 863-1840
(586) 863-1841
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4538970
—
MI
01
—
4834100001
ABP ADMINISTRATION
MI
01
—
540E017240
BLUE CARE NETWORK
MI
01
—
540H21560
BCBS-MI FED EMPLOYEE PROG
MI
Enumeration date
12/05/2006
Last updated
01/25/2012
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