Healthcare Provider Details

I. General information

NPI: 1245263235
Provider Name (Legal Business Name): HOME THERAPEUTIC MODALITIES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5560 LAKEVIEW BLVD
GOODRICH MI
48438-9611
US

IV. Provider business mailing address

PO BOX 620
ORTONVILLE MI
48462-0620
US

V. Phone/Fax

Practice location:
  • Phone: 248-627-9469
  • Fax: 248-627-9146
Mailing address:
  • Phone: 248-627-9469
  • Fax: 248-627-9146

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: MR. BRIAN S FRANCIS
Title or Position: PRESIDENT
Credential:
Phone: 248-627-9469