Organization
HOME CARE OF MICHIGAN INC
Active
Organization
HOME CARE OF MICHIGAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RANDALL KOWALSKI (PRESIDENT/CEO)
(313) 271-8120
Entity
Organization
Contact information
Practice address
1255 MICHIGAN ST. NE, GRAND RAPIDS, MI 49503
(616) 486-2950
Mailing address
1255 MICHIGAN ST, NE, GRAND RAPIDS, MI 49503
(616) 486-2950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5306003404
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
530101428
MI
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1916022
—
MI
05
—
H205866531
—
MI
Enumeration date
08/10/2005
Last updated
05/15/2014
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