Provider Demographics
NPI:1164959755
Name:CAMPOS ENTERPRISES INC.
Entity Type:Organization
Organization Name:CAMPOS ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELOISE
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:CAMPOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-329-7744
Mailing Address - Street 1:644 IRVING ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2906
Mailing Address - Country:US
Mailing Address - Phone:202-329-7744
Mailing Address - Fax:202-847-0141
Practice Address - Street 1:644 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2906
Practice Address - Country:US
Practice Address - Phone:202-329-7744
Practice Address - Fax:202-847-0141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-15
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies