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Organization

HOMEDCO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMED ELHASAN OTR (OWNER)
(313) 386-0224
Entity
Organization

Contact information

Practice address
6852 ALLEN RD, ALLEN PARK, MI 48101-2008
(313) 386-0224
(313) 386-0225
Mailing address
6852 ALLEN RD, ALLEN PARK, MI 48101-2008
(313) 386-0224
(313) 386-0225

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4845274
MI
01
540H227740
BCBSM
MI
Enumeration date
05/14/2007
Last updated
04/11/2011
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