Organization
CENTRAL CARE MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA A. EDWARDS (PRESIDENT)
(866) 585-6704
Entity
Organization
Contact information
Practice address
9244 E HAMPTON DR, 631, CAPITOL HEIGHTS, MD 20743-3858
(866) 585-6704
(866) 261-0478
Mailing address
3218 CENTRAL AVE NE, WASHINGTON, DC 20018-2624
(202) 391-5024
(866) 261-0478
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2586
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017398300
—
MD
Enumeration date
01/10/2008
Last updated
07/30/2008
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