Organization
PRIMIS HEALTHCARE SYSTEMS INC
Active
Other names
Advance Home Health Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILA CHERRI (PRESIDENT & CEO)
(248) 655-5555
Entity
Organization
Contact information
Practice address
1132 COOLIDGE HWY, TROY, MI 48084-7006
(248) 655-5555
(248) 655-0000
Mailing address
1132 COOLIDGE HWY, TROY, MI 48084-7006
(248) 655-5555
(248) 655-0000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
ME0214888
MI
332BC3200X
Customized Equipment (DME)
ME0214888
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
ME0214888
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
ME0214888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119406
GREAT LAKES HEALTH ID
MI
05
—
1536696
—
MI
01
—
3580
CAPE HEALTH PROVIDER ID
MI
01
—
OF30493
BCBS OF MI PROVIDER ID
MI
Enumeration date
07/08/2006
Last updated
09/14/2011
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