Provider Demographics
NPI:1437396645
Name:WORLD MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:WORLD MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AKIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MENA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:313-459-1976
Mailing Address - Street 1:6302 FERRAINA DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-9620
Mailing Address - Country:US
Mailing Address - Phone:313-459-1976
Mailing Address - Fax:
Practice Address - Street 1:6302 FERRAINA DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-9620
Practice Address - Country:US
Practice Address - Phone:313-459-1976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies