Organization
VITALCARE HOME MEDICAL EQUIPMENT INC
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
602 W. SEYMOUR STREET, CHEBOYGAN, MI 49721
(231) 627-2031
(231) 268-3692
Mailing address
761 LAFAYETTE AVE, CHEBOYGAN, MI 49721
(231) 627-2031
(231) 268-3692
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
HME-0150738
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540F90342
BC/BS
—
01
—
56737
NORTHWOOD NPN
—
Enumeration date
09/30/2009
Last updated
12/19/2017
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