Provider Demographics
NPI:1700410743
Name:REMEDY MEDICAL EQUIPMENT AND SUPPLY
Entity Type:Organization
Organization Name:REMEDY MEDICAL EQUIPMENT AND SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-203-2182
Mailing Address - Street 1:9801 CHALMERS ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48213-1910
Mailing Address - Country:US
Mailing Address - Phone:586-203-2123
Mailing Address - Fax:
Practice Address - Street 1:14301 LONGVIEW ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48213-1982
Practice Address - Country:US
Practice Address - Phone:586-203-2182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies