SUPREME REHAB INC
Medical Equipment Supplier Yellow Pages
Livonia, Michigan
Provider NPI: 1477627115
Organization Information:Organization Name: SUPREME REHAB INC
Practice Location:
38525 8 MILE RD LIVONIA, MI 48152 US
Tel: 734-591-5920 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
38525 8 MILE RD LIVONIA, MI 48152 US
Tel: 734-591-5920 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | MI | 4105160001 |
Y | 251E00000X | Agencies Home Health | MI | 638089 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2039402 | MI | 05 | |
BCBS OF MICHIGAN | 0E828 | MI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin