NPI | 1801980024 |
---|---|
Doing Business As | ADVANCED CARE INFUSION-SHELBY |
Entity Type | Organization |
Authorized Contact | TRACY JED Manager 586-323-8280 |
Organization Subpart ? | No |
Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MI 5301006991) |
Additional Taxonomies | 251F00000X Home Infusion (Licence: MI 5301006991) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301006991) | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MI 5301006991) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2022-07-21 |