Organization
POTOMAC VALLEY HOME MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALEED ADNAN BEIDAS (PRESIDENT)
(301) 722-6300
Entity
Organization
Contact information
Practice address
6310 STEVENS FOREST RD, COLUMBIA, MD 21046-1036
(301) 722-6300
(301) 722-4787
Mailing address
6721 SERVICEBERRY DR, FREDERICK, MD 21703-7996
(240) 644-8664
(301) 722-4787
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0005158
MD LICENSE
MD
Enumeration date
05/12/2021
Last updated
05/12/2021
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