Healthcare Provider Details

I. General information

NPI: 1255879128
Provider Name (Legal Business Name): EXQUISITE MEDICAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2017
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 E MAPLE RD
BIRMINGHAM MI
48009-7429
US

IV. Provider business mailing address

2711 E MAPLE RD
BIRMINGHAM MI
48009-7429
US

V. Phone/Fax

Practice location:
  • Phone: 248-282-4937
  • Fax: 248-282-0727
Mailing address:
  • Phone: 248-282-4937
  • Fax: 248-282-0727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DELLA HAMAMEH
Title or Position: OWNER
Credential:
Phone: 248-282-4937