Provider Demographics
NPI:1558924506
Name:SENIOR LINKS MED EQUIPMENT & SUPPLIES INC
Entity Type:Organization
Organization Name:SENIOR LINKS MED EQUIPMENT & SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FAIZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAROOQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-617-0579
Mailing Address - Street 1:8601 BOULDER CT STE A
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-4138
Mailing Address - Country:US
Mailing Address - Phone:318-617-0579
Mailing Address - Fax:
Practice Address - Street 1:8601 BOULDER CT STE A
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-4138
Practice Address - Country:US
Practice Address - Phone:248-622-4830
Practice Address - Fax:248-977-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1558924506Medicaid