Healthcare Provider Details

I. General information

NPI: 1669669552
Provider Name (Legal Business Name): SAB HOME MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30050 HOOVER RD STE G
WARREN MI
48093-2544
US

IV. Provider business mailing address

30050 HOOVER RD STE G
WARREN MI
48093-2544
US

V. Phone/Fax

Practice location:
  • Phone: 586-576-0443
  • Fax: 586-576-0778
Mailing address:
  • Phone: 586-576-0443
  • Fax: 586-576-0778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SABIRA ALI
Title or Position: OWNER
Credential:
Phone: 586-746-8310