Organization
THERAPY SUPPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSCELL D PAVLIN (3M DIRECTOR)
(417) 380-5105
Entity
Organization
Contact information
Practice address
24784 CRESTVIEW CT, FARMINGTON HILLS, MI 48335-1506
(248) 426-0804
(248) 426-0849
Mailing address
2803 N OAK GROVE AVE, SPRINGFIELD, MO 65803-4976
(417) 380-5105
(417) 380-5205
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
L2236188
MI
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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