Organization
AMERICAN HOME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA LEE ROSE (CEO)
(586) 775-1111
Entity
Organization
Contact information
Practice address
24912 HARPER AVE, SAINT CLAIR SHORES, MI 48080-1242
(586) 775-1111
(586) 552-1111
Mailing address
PO BOX 32730, DETROIT, MI 48232-0730
(586) 775-1111
(586) 552-1111
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4383527
—
MI
Enumeration date
06/09/2005
Last updated
07/21/2022
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