Provider Demographics
NPI:1093947681
Name:CONTINENTAL MEDICAL LLC
Entity Type:Organization
Organization Name:CONTINENTAL MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SOLE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OMOTUNDE
Authorized Official - Middle Name:RAUF
Authorized Official - Last Name:SANUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-486-0497
Mailing Address - Street 1:9470 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3025
Mailing Address - Country:US
Mailing Address - Phone:301-358-2603
Mailing Address - Fax:240-965-1715
Practice Address - Street 1:9470 ANNAPOLIS RD
Practice Address - Street 2:SUITE 208
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3025
Practice Address - Country:US
Practice Address - Phone:301-358-2603
Practice Address - Fax:240-965-1715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2793332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies