Healthcare Provider Details
I. General information
NPI: 1457371221
Provider Name (Legal Business Name): ARCADIA HOME OXYGEN & MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2006
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7990 GRAND RIVER RD STE C
BRIGHTON MI
48114-7326
US
IV. Provider business mailing address
26777 CENTRAL PARK BLVD SUITE 200
SOUTHFIELD MI
48076-4162
US
V. Phone/Fax
- Phone: 810-227-9211
- Fax: 810-227-7442
- Phone: 248-352-7530
- Fax: 248-352-5189
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name:
CATHY
SPARLING
Title or Position: VP OF ADMINISTRATIVE SERVICES
Credential:
Phone: 248-352-7530