Organization
AIRWAY OXYGEN INC
Active
Parent organization
GRANITE HOLDINGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANITE HOLDINGS INC
Authorized official
MR. STEPHEN W NYHUIS (PRESIDENT)
(616) 247-3900
Entity
Organization
Contact information
Practice address
4120 STADIUM DR, KALAMAZOO, MI 49008-1426
(269) 372-1628
(269) 372-4664
Mailing address
PO BOX 9950, WYOMING, MI 49509-9918
(616) 247-3900
(616) 247-0776
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
L2096486
MI
Other
Enumeration date
02/07/2012
Last updated
08/11/2016
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