Organization
XXTAR ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD PORTER (OWNER)
(321) 262-6700
Entity
Organization
Contact information
Practice address
18100 MEYERS RD STE L2, DETROIT, MI 48235-1426
(866) 946-6066
Mailing address
100 RENAISSANCE CTR STE 10140245, DETROIT, MI 48243-1114
(321) 262-6700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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