Provider Demographics
NPI:1659506608
Name:ATLANTIC DME, LLC
Entity Type:Organization
Organization Name:ATLANTIC DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:NEELS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:410-296-8888
Mailing Address - Street 1:7401 OSLER DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7673
Mailing Address - Country:US
Mailing Address - Phone:410-296-8888
Mailing Address - Fax:410-296-6745
Practice Address - Street 1:7401 OSLER DR
Practice Address - Street 2:SUITE 110
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7673
Practice Address - Country:US
Practice Address - Phone:410-296-8888
Practice Address - Fax:410-296-6745
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWSON REHABILITATION CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies