Provider Demographics
NPI:1821891227
Name:SANATIVE MEDICAL SUPPLIES, INC
Entity type:Organization
Organization Name:SANATIVE MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLS
Authorized Official - Suffix:
Authorized Official - Credentials:DYLAN BILLS
Authorized Official - Phone:248-894-3971
Mailing Address - Street 1:691 NORTH SQUIRREL
Mailing Address - Street 2:SUITE LL-150
Mailing Address - City:AUBURN HILLS, MI
Mailing Address - State:MI
Mailing Address - Zip Code:48326
Mailing Address - Country:US
Mailing Address - Phone:248-894-3971
Mailing Address - Fax:248-301-6601
Practice Address - Street 1:691 NORTH SQUIRREL
Practice Address - Street 2:SUITE LL-150
Practice Address - City:AUBURN HILLS, MI
Practice Address - State:MI
Practice Address - Zip Code:48326
Practice Address - Country:US
Practice Address - Phone:248-894-3971
Practice Address - Fax:248-301-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies