Healthcare Provider Details

I. General information

NPI: 1215938378
Provider Name (Legal Business Name): OAKWOOD HOME MEDICAL EQUIPMENT LTD PT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 FAIRLANE CIR SUITE 200
ALLEN PARK MI
48101-3660
US

IV. Provider business mailing address

1633 FAIRLANE CIR SUITE 200
ALLEN PARK MI
48101-3660
US

V. Phone/Fax

Practice location:
  • Phone: 313-271-8120
  • Fax:
Mailing address:
  • Phone: 313-271-8120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMI

VIII. Authorized Official

Name: MR. PATRICK J. SMERECKI
Title or Position: VP-COO
Credential:
Phone: 313-271-8120