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Organization

DISTRICT HEALTHCARE & JANITORIAL SUPPLIES, INC.

Active
Other names
District Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PERNELL JEROME WILLIAMS (PRESIDENT)
(301) 333-1750
Entity
Organization

Contact information

Practice address
10104 SENATE DR STE 201, LANHAM, MD 20706-4393
(301) 918-0200
(301) 918-8230
Mailing address
10104 SENATE DR STE 201, LANHAM, MD 20706-4393
(301) 918-0200
(301) 918-8230

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)
16226054
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009106081
VA
05
025842500
DC
01
207060000
TRICARE
DC
01
40801
AMERIGROUP
MD
05
648588000
MD
Enumeration date
07/05/2006
Last updated
02/18/2025
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