Provider Demographics
NPI:1548578404
Name:HORIZON RESPIRATORY MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:HORIZON RESPIRATORY MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JUMOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINNAGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-897-0514
Mailing Address - Street 1:PO BOX 6178
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-0178
Mailing Address - Country:US
Mailing Address - Phone:410-867-0514
Mailing Address - Fax:866-757-2727
Practice Address - Street 1:600 E TAYLOR ST
Practice Address - Street 2:STE 311
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2881
Practice Address - Country:US
Practice Address - Phone:410-897-0514
Practice Address - Fax:866-757-2727
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HORIZON RESPIRATORY MEDICAL SUPPLY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies