MEDICARE: MAAC SALES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1275100810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAAC SALES LLC

Provider Business Mailing Address
First Line	:	3815 W FORT ST STE 207
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48216-1695
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3815 W FORT ST STE 207
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48216-1695
Country	:	US
Telephone Number	:	586-482-2668
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	JENNIFER CARTWRIGHT
Credential	:
Telephone Number	:	586-482-2668

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	06/10/2021

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Directions to “MAAC SALES LLC ” Practice Location

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