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Organization

GRANDIFF MEDICAL SUPPLIES INC

Active
Parent organization
GRANDIFF MEDICAL SUPPLIES INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRANDIFF MEDICAL SUPPLIES INC
Authorized official
IMAOBONG AKPAETE (PRESIDENT)
(301) 816-9100
Entity
Organization

Contact information

Practice address
11631 NEBEL ST, ROCKVILLE, MD 20852-2503
(301) 816-9100
(301) 816-0003
Mailing address
11631 NEBEL ST, ROCKVILLE, MD 20852-2503
(301) 816-9100
(301) 816-0003

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2253
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154561769
VA
05
419181100
MD
Enumeration date
02/23/2009
Last updated
07/23/2010
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