Organization
MOBILITY PLUS SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M MORGAN (OWNER)
(313) 218-1224
Entity
Organization
Contact information
Practice address
20114 LIVERNOIS AVE, DETROIT, MI 48221-1346
(313) 218-1224
Mailing address
20114 LIVERNOIS AVE, DETROIT, MI 48221-1346
(313) 218-1224
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914570
—
MI
Enumeration date
04/24/2007
Last updated
03/31/2008
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