Provider Demographics
NPI:1497788343
Name:AFFORDABLE MEDICAL EQUIPMENT & SUPPLY, CO., INC.
Entity Type:Organization
Organization Name:AFFORDABLE MEDICAL EQUIPMENT & SUPPLY, CO., INC.
Other - Org Name:AFFORDABLE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-865-2858
Mailing Address - Street 1:5600 W MAPLE RD
Mailing Address - Street 2:BUILDING D SUITE 411
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3704
Mailing Address - Country:US
Mailing Address - Phone:248-865-2858
Mailing Address - Fax:248-865-2870
Practice Address - Street 1:5600 W MAPLE RD
Practice Address - Street 2:BUILDING D SUITE 411
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3704
Practice Address - Country:US
Practice Address - Phone:248-865-2858
Practice Address - Fax:248-865-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5614680001Medicare ID - Type Unspecified