Organization
COMPREHENSIVE DIABETIC SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DELLAVECCHIA (OWNER)
(586) 585-1540
Entity
Organization
Contact information
Practice address
3200 E 12 MILE RD STE 205, WARREN, MI 48092-5621
(586) 585-1540
(586) 585-1537
Mailing address
3200 E 12 MILE RD STE 205, WARREN, MI 48092-5621
(586) 585-1540
(586) 585-1537
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6253130001
—
MI
Enumeration date
12/15/2008
Last updated
03/07/2022
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