Healthcare Provider Details

I. General information

NPI: 1801716303
Provider Name (Legal Business Name): PUBLIC SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 GRATIOT AVENUE
ROSEVILLE MI
48066
US

IV. Provider business mailing address

2835 GRATIOT AVENUE
ROSEVILLE MI
48066
US

V. Phone/Fax

Practice location:
  • Phone: 888-446-4118
  • Fax: 888-910-0640
Mailing address:
  • Phone: 888-446-4118
  • Fax: 888-910-0640

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: CALIB CANDICE
Title or Position: MANAGER
Credential:
Phone: 888-446-4118