Organization
FAMILY HOME MEDICAL EQUIPMENT AND SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA LOUISE JACKSON-WHITE (PRESIDENT/CEO)
(301) 735-6020
Entity
Organization
Contact information
Practice address
7816 PARSTON DR, FORESTVILLE, MD 20747-4424
(301) 735-6020
(301) 735-6021
Mailing address
7816 PARSTON DR, FORESTVILLE, MD 20747-4424
(301) 735-6020
(301) 735-6021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002805300
—
MD
05
—
036518300
—
DC
Enumeration date
04/10/2006
Last updated
11/19/2008
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