# POTOMAC VALLEY HOME MEDICAL INC.

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

## Provider details

- **NPI number:** 1396329579
- **Authorized official:** WALEED ADNAN BEIDAS (PRESIDENT)
- **Authorized official phone:** (301) 722-6300

## Contact information

- **Practice address:** 6310 STEVENS FOREST RD, COLUMBIA, MD 21046-1036
- **Practice address phone:** (301) 722-6300
- **Practice address fax:** (301) 722-4787
- **Mailing address:** 6721 SERVICEBERRY DR, FREDERICK, MD 21703-7996
- **Mailing address phone:** (240) 644-8664
- **Mailing address fax:** (301) 722-4787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 05/12/2021
- **Last updated:** 05/12/2021