Organization
PREMIER SECURITY SYS OF WASHINGTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE CHUCKER (OWNER)
(301) 840-3477
Entity
Organization
Contact information
Practice address
11321 MOXLEY RD, DAMASCUS, MD 20872-1332
(301) 840-3477
Mailing address
11321 MOXLEY RD, DAMASCUS, MD 20872-1332
(301) 840-3477
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
11-6236
VA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11-6236
VA
Other
Enumeration date
01/05/2011
Last updated
01/06/2011
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