Organization
VITALCARE HOME MEDICAL EQUIPMENT
Active
Other names
McLaren Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BRYAN (EXECUTIVE ASSISTANT)
(231) 627-2031
Entity
Organization
Contact information
Practice address
994 S MAIN ST, CHEBOYGAN, MI 49721-2265
(231) 627-7157
(231) 597-8202
Mailing address
761 LAFAYETTE AVE, CHEBOYGAN, MI 49721-2117
(231) 627-7157
(231) 597-8202
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/25/2011
Last updated
12/19/2017
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