Provider Demographics
NPI:1407145360
Name:BEMAC
Entity Type:Organization
Organization Name:BEMAC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHINWENDU
Authorized Official - Middle Name:MABEL
Authorized Official - Last Name:ONWUEMELIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-532-4604
Mailing Address - Street 1:24801 5 MILE RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3655
Mailing Address - Country:US
Mailing Address - Phone:313-532-4604
Mailing Address - Fax:313-532-4608
Practice Address - Street 1:24801 5 MILE RD
Practice Address - Street 2:SUITE 19
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3655
Practice Address - Country:US
Practice Address - Phone:313-532-4604
Practice Address - Fax:313-532-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care