Organization Name: | ALLIANCE DME |
NPI Number: | 1174868350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBYN JONES (OWNER) |
Mailing Address: | 1697 Airport Rd. Hillsdale |
State: | MI US |
Postal Code: | 49242 |
Phone Number: | 5173980404 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2012 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |