Organization
METRO MEDICAL HOME SUPPLIERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA NAOMI POWELL (CEO)
(313) 729-3298
Entity
Organization
Contact information
Practice address
18121 E 8 MILE RD, EASTPOINTE, MI 48021-3245
(313) 729-3298
Mailing address
5541 THREE MILE DR, DETROIT, MI 48224-2643
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
4703089853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703089853
LICENSED NURSE
MI
Enumeration date
08/31/2006
Last updated
08/22/2020
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