| Name: | A&W Home Medical Equipment Incorporated |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 15 Jul 1991 (33 years ago) |
| Entity Number: | 000-934-629 |
| Register Number: | 000934629 |
| County: | Jefferson |
| Place of Formation: | Michigan |
| Principal Address: | 20101 GREENFIELD RDDETROIT, MI 48235 |
| Registered Office Street Address: | 1416 PINSON STBIRMINGHAM, AL 35217 |
| Registered Office Street Address ZIP Code: | 35217 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831260512 | 2006-11-13 | 2020-08-22 | 1416 PINSON ST, BIRMINGHAM, AL, 352172505, US | 1416 PINSON ST, BIRMINGHAM, AL, 352172505, US | |||||||||||||||||||||||
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| Phone | +1 313-837-0100 |
| Fax | 3138373323 |
Authorized person
| Name | WALTER L JOHNSON |
| Role | CEO |
| Phone | 3138370100 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | MI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2840199 |
| State | MI |
| Name | Role | Address |
|---|---|---|
| JOHNSON, WALTER L | Agent | 248 JIMERSON ROADUNIONTOWN, AL 36786 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
