Organization
METRO DETROIT RESPIRATORY HOME CARE
Active
Other names
metro home medical suppty
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILBERT FRANKLIN SMALL (PRESIDENT)
(313) 863-7711
Entity
Organization
Contact information
Practice address
16909 LIVERNOIS AVE, DETROIT, MI 48221-3058
(313) 863-3710
Mailing address
16909 LIVERNOIS AVE, DETROIT, MI 48221-3058
(313) 863-3710
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883360
—
MI
Enumeration date
09/25/2006
Last updated
09/06/2023
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