Organization
SHOPPE CENTRAL L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MICHEL (PRESIDENT)
(443) 982-1582
Entity
Organization
Contact information
Practice address
900 S ROLLING RD, CATONSVILLE, MD 21228-5318
(443) 982-1582
Mailing address
900 S ROLLING RD, CATONSVILLE, MD 21228-5318
(443) 982-1582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03372811
MD
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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