Provider Demographics
NPI:1578790630
Name:MARYLAND HOME AND HEALTH MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:MARYLAND HOME AND HEALTH MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOODIER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:410-262-9297
Mailing Address - Street 1:3427 SANTEE CT
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-3117
Mailing Address - Country:US
Mailing Address - Phone:410-262-9297
Mailing Address - Fax:410-663-9675
Practice Address - Street 1:3427 SANTEE CT
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-3117
Practice Address - Country:US
Practice Address - Phone:410-262-9297
Practice Address - Fax:410-663-9675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies