Organization
NORTHWOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH FASSE (PRESIDENT)
(586) 755-3830
Entity
Organization
Contact information
Practice address
25790 COMMERCE DR, MADISON HEIGHTS, MI 48071-4157
(586) 755-3830
Mailing address
25790 COMMERCE DR, MADISON HEIGHTS, MI 48071-4157
(586) 755-3830
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/12/2008
Last updated
09/05/2018
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