Provider Demographics
NPI:1689351066
Name:1ST RUACH DURABLE MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:1ST RUACH DURABLE MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BALIDA
Authorized Official - Last Name:ONIANWAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-577-1092
Mailing Address - Street 1:52 INDUSTRIAL PARK DR STE 4-A
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2707
Mailing Address - Country:US
Mailing Address - Phone:240-458-7700
Mailing Address - Fax:240-269-0657
Practice Address - Street 1:52 INDUSTRIAL PARK DR STE 4-A
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2707
Practice Address - Country:US
Practice Address - Phone:240-458-7700
Practice Address - Fax:240-269-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies