Organization
NORTHWOOD INC
Active
Other names
CARE CONNECTION PLUS
Organization subpart
No
Provider details
NPI number
Authorized official
KEN FASSE (PRESIDENT)
(586) 755-3830
Entity
Organization
Contact information
Practice address
25790 COMMERCE DR STE 100, MADISON HEIGHTS, MI 48071-4157
(586) 755-3830
(586) 755-3733
Mailing address
25790 COMMERCE DR, MADISON HEIGHTS, MI 48071-4157
(586) 755-3830
(586) 755-3733
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139656
PK
—
05
—
4961470
—
MI
Enumeration date
06/21/2006
Last updated
03/05/2019
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