Provider Demographics
NPI:1003460122
Name:S E B SUPPLIES LLC
Entity Type:Organization
Organization Name:S E B SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEBLANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-904-6858
Mailing Address - Street 1:32238 SCHOOLCRAFT RD STE 120
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-4303
Mailing Address - Country:US
Mailing Address - Phone:305-904-6858
Mailing Address - Fax:
Practice Address - Street 1:32238 SCHOOLCRAFT RD STE 120
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-4303
Practice Address - Country:US
Practice Address - Phone:305-904-6858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies