Organization
RIVANA MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINA YOUSIF (VICE PRESIDENT)
(586) 883-9963
Entity
Organization
Contact information
Practice address
4208 E 14 MILE RD, WARREN, MI 48092-4325
(586) 883-9963
(586) 883-9731
Mailing address
4208 E 14 MILE RD, WARREN, MI 48092-4325
(586) 944-3029
(586) 722-7988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5306005100
MI
Other
Enumeration date
05/18/2018
Last updated
11/22/2019
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