Organization
CARE SOURCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M LOGAN (PRESIDENT)
(734) 331-4873
Entity
Organization
Contact information
Practice address
39072 WEBB DR, WESTLAND, MI 48185-1978
(734) 331-4873
(734) 589-6024
Mailing address
39072 WEBB DR, WESTLAND, MI 48185-1978
(734) 331-4873
(734) 589-6024
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891743258
—
MI
Enumeration date
05/05/2006
Last updated
07/21/2022
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