Healthcare Provider Details
I. General information
NPI: 1568645794
Provider Name (Legal Business Name): FRANCIS MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22 PENNSYLVANIA AVE
MILAN MI
48160-1617
US
IV. Provider business mailing address
22 PENNSYLVANIA AVE
MILAN MI
48160-1617
US
V. Phone/Fax
- Phone: 734-732-9157
- Fax:
- Phone: 734-732-9157
- Fax:
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 |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name: MR.
DARRELL
FRANCIS
JR.
Title or Position: PRESIDENT/CEO
Credential:
Phone: 734-732-9157