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Contact Information

BABY BOOMER MEDICAL SUPPLIES, LLC
3058 METRO PKWY
SUITE 110
STERLING HEIGHTS, MI48310-3671
 Phone: 586-698-2071
 Fax: 586-698-2074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for BABY BOOMER MEDICAL SUPPLIES, LLC

NPI Number 1922328210
LBN Legal business name BABY BOOMER MEDICAL SUPPLIES, LLC
Authorized official OKEZIE WACHUKU - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2010
Last updated 06/09/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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