Healthcare Provider Details

I. General information

NPI: 1609892868
Provider Name (Legal Business Name): ALFA MEDICAL EQUIPMENT & SUPPLIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13181 W 10 MILE RD
OAK PARK MI
48237-4630
US

IV. Provider business mailing address

13181 W 10 MILE RD
OAK PARK MI
48237-4630
US

V. Phone/Fax

Practice location:
  • Phone: 248-584-5555
  • Fax: 248-584-5666
Mailing address:
  • Phone: 248-584-5555
  • Fax: 248-584-5666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberCFO2945
License Number StateDE

VIII. Authorized Official

Name: MARGARITA VOLOZINA
Title or Position: PRESIDENT
Credential: CFO
Phone: 248-584-5555