# FAMILY RESPIRATORY & MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316173529
- **Authorized official:** MR. KENNETH RICHARD SUTER SR. (PRESIDENT/CEO)
- **Authorized official phone:** (410) 254-0202

## Contact information

- **Practice address:** 337 HOSPITAL DR, UNIT T, GLEN BURNIE, MD 21061-5547
- **Practice address phone:** (410) 787-0220
- **Practice address fax:** (410) 787-8671
- **Mailing address:** 5522 HARFORD RD, BALTIMORE, MD 21214-2231
- **Mailing address phone:** (410) 254-0202
- **Mailing address fax:** (410) 254-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | R1090 | MD | Yes |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 12/16/2011