Organization
MALACHI MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY KASASA (OWNER)
(301) 537-6838
Entity
Organization
Contact information
Practice address
8212 BRINK RD, LAYTONSVILLE, MD 20882-4858
(301) 537-6838
(301) 569-7640
Mailing address
8212 BRINK RD, LAYTONSVILLE, MD 20882-4858
(301) 537-6838
(301) 569-7640
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
15156721
MD
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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