# MARYLAND MEDICAL SUPPLIES COMPANY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720367790
- **Authorized official:** MR. ERIC IGWACHO (ADMINISTRATOR)
- **Authorized official phone:** (410) 638-1177

## Contact information

- **Practice address:** 260 GATEWAY DR, SUITE 1-2A, BEL AIR, MD 21014-4268
- **Practice address phone:** (410) 638-1177
- **Mailing address:** 260 GATEWAY DR, SUITE 1-2A, BEL AIR, MD 21014-4268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R3060 | MD | Yes |

## Other

- **Enumeration date:** 08/09/2011
- **Last updated:** 08/09/2011