Provider Demographics
NPI:1174725212
Name:MEDICAL AIDS FOR DAILY LIVING INC
Entity type:Organization
Organization Name:MEDICAL AIDS FOR DAILY LIVING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VENABLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:313-861-9006
Mailing Address - Street 1:7300 W 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2122
Mailing Address - Country:US
Mailing Address - Phone:313-861-9006
Mailing Address - Fax:313-861-0042
Practice Address - Street 1:7300 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2122
Practice Address - Country:US
Practice Address - Phone:313-861-9006
Practice Address - Fax:313-861-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI306572MEDOtherUNITEDHEATHCARE
MI90488OtherCOFINITY FORMALLY PPOM
MI540H232180OtherBLUE CROSS BLUE SHIELD
MI5217478Medicaid
MI5217478Medicaid