Provider Demographics
NPI:1730315920
Name:ADEQUATE MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:ADEQUATE MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KHADEEJAH
Authorized Official - Middle Name:SALMA
Authorized Official - Last Name:WAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-732-4296
Mailing Address - Street 1:44480 FAIR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-5004
Mailing Address - Country:US
Mailing Address - Phone:734-732-4296
Mailing Address - Fax:734-212-1396
Practice Address - Street 1:44480 FAIR OAKS DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-5004
Practice Address - Country:US
Practice Address - Phone:734-732-4296
Practice Address - Fax:734-212-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI02738X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies