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Organization

AMANIS MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLUBUNMI GREEN (PRESIDENT)
(240) 354-0269
Entity
Organization

Contact information

Practice address
176 LEEDS CREEK CIR, ODENTON, MD 21113-3903
(240) 354-0269
(410) 674-2232
Mailing address
176 LEEDS CREEK CIR, ODENTON, MD 21113-3903
(240) 354-0269
(410) 674-2232

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R3870
MD
332BC3200X
Customized Equipment (DME)
R3870
MD
332BX2000X
Oxygen Equipment & Supplies (DME)
R3870
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R3870
RSA
MD
Enumeration date
04/19/2016
Last updated
04/19/2016
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