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Organization

DAVISMADE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NANCY PERRY (PRESIDENT)
(866) 742-0581
Entity
Organization

Contact information

Practice address
2511 DAVISON RD, FLINT, MI 48506-3649
(810) 233-9706
(810) 233-9716
Mailing address
2511 DAVISON RD, FLINT, MI 48506-3649
(810) 233-9706
(810) 233-9716

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
ME-0159374
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01652524
NY
05
0956541
OH
05
2771752
MI
05
30010915
PA
01
663880
HAP
MI
05
9113941
VA
05
9162430
SD
05
DA J54840
IN
Enumeration date
05/08/2006
Last updated
08/22/2020
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