Provider Demographics
NPI:1083302384
Name:MED EXP LLC
Entity Type:Organization
Organization Name:MED EXP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NNENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKWULEBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-839-7256
Mailing Address - Street 1:5057 SILVER OAK DR
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3394
Mailing Address - Country:US
Mailing Address - Phone:443-839-7256
Mailing Address - Fax:
Practice Address - Street 1:5057 SILVER OAK DR
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3394
Practice Address - Country:US
Practice Address - Phone:443-839-7256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care