Provider Demographics
NPI:1326137548
Name:RICH & ASSOCIATED MEDICAL SUPPLY
Entity Type:Organization
Organization Name:RICH & ASSOCIATED MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-655-3255
Mailing Address - Street 1:17250 W 12 MILE RD
Mailing Address - Street 2:STE#122
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2127
Mailing Address - Country:US
Mailing Address - Phone:313-655-3255
Mailing Address - Fax:248-905-0003
Practice Address - Street 1:17250 W 12 MILE RD
Practice Address - Street 2:STE#122
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2127
Practice Address - Country:US
Practice Address - Phone:313-655-3255
Practice Address - Fax:248-905-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies