Provider Demographics
NPI:1083746473
Name:MISS INC
Entity Type:Organization
Organization Name:MISS INC
Other - Org Name:MS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IFEOMA
Authorized Official - Middle Name:F
Authorized Official - Last Name:ONYIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-931-3235
Mailing Address - Street 1:5000 SUNNYSIDE AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2327
Mailing Address - Country:US
Mailing Address - Phone:301-931-3235
Mailing Address - Fax:301-931-3236
Practice Address - Street 1:5000 SUNNYSIDE AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2327
Practice Address - Country:US
Practice Address - Phone:301-931-3235
Practice Address - Fax:301-931-3236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2428332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies