Organization
CITYCARE MEDICAL SUPPLIER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MELVIN THOMPSON SR. (VICE PRESIDENT)
(202) 662-8287
Entity
Organization
Contact information
Practice address
641 FLORIDA AVE NW, WASHINGTON, DC 20001
(202) 667-8287
(202) 667-3790
Mailing address
641 FLORIDA AVE NW, WASHINGTON, DC 20001
(202) 667-8287
(202) 667-3790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024670400
—
DC
Enumeration date
10/31/2006
Last updated
05/19/2008
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