Provider Demographics
NPI:1164959227
Name:SUREHEALTH MEDICAL SUPPY
Entity Type:Organization
Organization Name:SUREHEALTH MEDICAL SUPPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:LUCY
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-867-2455
Mailing Address - Street 1:3028 MITCHELLVILLE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-6331
Mailing Address - Country:US
Mailing Address - Phone:301-867-2455
Mailing Address - Fax:410-692-8855
Practice Address - Street 1:3028 MITCHELLVILLE RD STE 104
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-6331
Practice Address - Country:US
Practice Address - Phone:301-867-2455
Practice Address - Fax:410-692-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1945OtherMARYLAND
MD1945OtherMD