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Organization

MONROE HOME CARE SHOPPE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURIE ANN BERRY (VICE PRESIDENT)
(734) 241-7875
Entity
Organization

Contact information

Practice address
474 N TELEGRAPH RD, MONROE, MI 48162-3335
(734) 241-7875
(734) 241-7469
Mailing address
474 N TELEGRAPH RD, MONROE, MI 48162-3335
(734) 241-7875
(734) 241-7469

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3139882
MI
01
540E81002
BCBCSM
MI
Enumeration date
09/14/2006
Last updated
07/21/2022
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