# POTOMAC VALLEY HOME MEDICAL INC.

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

## Provider details

- **NPI number:** 1871598029
- **Authorized official:** MR. WALEED ADNAN BEIDAS (PRESIDENT)
- **Authorized official phone:** (301) 722-6300

## Contact information

- **Practice address:** 505 NORTH CENTRE STREET, CUMBERLAND, MD 21502
- **Practice address phone:** (301) 722-6300
- **Practice address fax:** (301) 722-4787
- **Mailing address:** 505 NORTH CENTRE STREET, CUMBERLAND, MD 21505
- **Mailing address phone:** (301) 722-6300
- **Mailing address fax:** (301) 722-4787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 05/26/2021