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Organization

RITEWAY MEDICAL EQUIPMENT SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAM NELSON UDOFIA (MANAGER/OWNER)
(202) 723-8400
Entity
Organization

Contact information

Practice address
3019 GEORGIA AVE NW, WASHINGTON, DC 20001-3807
(202) 723-8400
(202) 829-3350
Mailing address
3019 GEORGIA AVE NW, WASHINGTON, DC 20001-3807
(202) 723-8400
(202) 829-3350

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034904800
DC
01
288065
AMERIGROUP
DC
Enumeration date
10/16/2006
Last updated
10/05/2016
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