Organization
NCR MEDICAL EQUIPMENT SUPPLY.LLC
Active
Other names
N/B
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS AKEM ASONG (ADMINISTRATOR)
(240) 755-1220
Entity
Organization
Contact information
Practice address
5419 85 TH AVE APT #201, LANHAM, MD 20706
(240) 755-1220
Mailing address
5419 85 TH AVEAPT #201, LANHAM, MD 20706
(240) 755-1220
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
R2772
MD
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
R2772
MD
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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