MEDICARE: NON OPIOID RELIEF LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1427743277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NON OPIOID RELIEF LLC

Provider Business Mailing Address
First Line	:	22200 W 11 MILE RD UNIT 3298
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48037-7092
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24225 W 9 MILE RD STE 140-3163
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-3962
Country	:	US
Telephone Number	:	305-239-2669
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	SAM MILLER
Credential	:
Telephone Number	:	305-239-2669

Provider Enumeration Date	:	04/07/2023
Last Update Date	:	04/07/2023

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Directions to “NON OPIOID RELIEF LLC ” Practice Location

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