Provider Demographics
NPI:1225386675
Name:SENIOR HOME MEDICAL EQUIPMENT & SUPPLIES LLC
Entity Type:Organization
Organization Name:SENIOR HOME MEDICAL EQUIPMENT & SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONAZZA
Authorized Official - Middle Name:AKRAM
Authorized Official - Last Name:SAJJAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-986-2773
Mailing Address - Street 1:25321 5 MILE RD
Mailing Address - Street 2:STE 8
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3700
Mailing Address - Country:US
Mailing Address - Phone:313-986-2773
Mailing Address - Fax:313-279-1575
Practice Address - Street 1:25321 5 MILE RD
Practice Address - Street 2:STE 8
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3700
Practice Address - Country:US
Practice Address - Phone:313-986-2773
Practice Address - Fax:313-279-1575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies