Organization
ACTIVLIFE MEDICAL MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C MARFORI (PROPRIETOR)
(240) 422-6252
Entity
Organization
Contact information
Practice address
8536 DAKOTA DR, GAITHERSBURG, MD 20877-4138
(240) 422-6252
Mailing address
7021 ROCK CREEK DR, FREDERICK, MD 21702-3643
(240) 422-6252
(301) 473-5103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14428454
MD
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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