Organization
GOLD AND FIRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY TURNER (REPRESENTATIVE)
(313) 422-3289
Entity
Organization
Contact information
Practice address
17910 VAN DYKE ST # 1264, DETROIT, MI 48234-3954
(313) 564-5988
Mailing address
17910 VAN DYKE ST., SUITE 1264, DETROIT, MI 48066
(313) 564-5988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
—
333300000X
Emergency Response System Companies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
335G00000X
Medical Foods Supplier
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
03/14/2023
Last updated
06/26/2023
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