Provider Demographics
NPI:1053586214
Name:UNIVERSAL MEDICAL EQUIPMENT & SUPPLIES CO.
Entity type:Organization
Organization Name:UNIVERSAL MEDICAL EQUIPMENT & SUPPLIES CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAGURU
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MSW, CSW, CACI
Authorized Official - Phone:248-968-5898
Mailing Address - Street 1:21700 GREENFIELD RD STE 210
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2538
Mailing Address - Country:US
Mailing Address - Phone:248-968-5898
Mailing Address - Fax:248-968-5939
Practice Address - Street 1:21700 GREENFIELD RD STE 210
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2538
Practice Address - Country:US
Practice Address - Phone:248-968-5898
Practice Address - Fax:248-968-5939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5439710002Medicare NSC