MEDICARE: METROPOLITAN HEALTH SUPPLIES

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1689903619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN HEALTH SUPPLIES

Provider Business Mailing Address
First Line	:	28475 GREENFIELD RD
Second Line	:	SUITE 204
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-3034
Country	:	US
Telephone Number	:	248-796-2639
Fax Number	:

Provider Business Practice Location Address
First Line	:	28475 GREENFIELD RD
Second Line	:	SUITE 204
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-3034
Country	:	US
Telephone Number	:	248-796-2639
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALONZO KEVIN MORGAN SR.
Credential	:
Telephone Number	:	248-796-2639

Provider Enumeration Date	:	12/22/2009
Last Update Date	:	12/22/2009

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