Provider Demographics
NPI:1568645794
Name:FRANCIS MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:FRANCIS MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:734-732-9157
Mailing Address - Street 1:22 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:MI
Mailing Address - Zip Code:48160-1617
Mailing Address - Country:US
Mailing Address - Phone:734-732-9157
Mailing Address - Fax:
Practice Address - Street 1:22 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:MI
Practice Address - Zip Code:48160-1617
Practice Address - Country:US
Practice Address - Phone:734-732-9157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies