Organization
MARYLAND MEDICAL SUPPLIES COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC IGWACHO (ADMINISTRATOR)
(410) 638-1177
Entity
Organization
Contact information
Practice address
260 GATEWAY DR, SUITE 1-2A, BEL AIR, MD 21014-4268
(410) 638-1177
Mailing address
260 GATEWAY DR, SUITE 1-2A, BEL AIR, MD 21014-4268
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R3060
MD
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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