Organization · NPI-2
Crow Creek Therapeutics, LLC
Durable Medical Equipment & Medical Supplies · Farmington Hills, MI
NPI number1790049468
StatusActive
Last updated in NPPESOct 25, 2024
Details
- NPI
- 1790049468
- Entity type
- Organization (NPI-2)
- Legal business name
- Crow Creek Therapeutics, LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2012
- Certification date
- Oct 25, 2024
- Last updated
- Oct 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | M261929 | MI | Yes |
Practice location
23939 Research DrFarmington Hills, MI 48335-2630
Phone 313-634-4856
Mailing address
3750 Priority Way South DrIndianapolis, IN 46240-3831
Phone 888-420-2337 · Fax 833-786-2066
Other practice locations
24619 Halsted Rd
Farmington Hills, MI 48335-1611
Farmington Hills, MI 48335-1611
Phone 888-420-2337
Authorized official
Kevin Gearheart
President
3178134210
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