Healthcare Provider Details

I. General information

NPI: 1003787599
Provider Name (Legal Business Name): ALL CARE SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 E JEFFERSON AVE STE 400
DETROIT MI
48207-4105
US

IV. Provider business mailing address

2751 E JEFFERSON AVE STE 400
DETROIT MI
48207-4105
US

V. Phone/Fax

Practice location:
  • Phone: 213-619-3326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: AMANUDDIN MOHAMMAD
Title or Position: MANAGER
Credential:
Phone: 213-619-3326