Provider Demographics
NPI:1467863654
Name:DOC'S QUALITY HOMEDICAL SUPPLIES & EQUIPMENT, LLC
Entity Type:Organization
Organization Name:DOC'S QUALITY HOMEDICAL SUPPLIES & EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORSYTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-580-8446
Mailing Address - Street 1:13600 BALTIMORE AVE
Mailing Address - Street 2:SUITE 702
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-9468
Mailing Address - Country:US
Mailing Address - Phone:301-580-8446
Mailing Address - Fax:
Practice Address - Street 1:13600 BALTIMORE AVE
Practice Address - Street 2:SUITE 702
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-9468
Practice Address - Country:US
Practice Address - Phone:301-580-8446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-11
Last Update Date:2014-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies