Provider Demographics
NPI:1750728390
Name:VDM SERVICES
Entity type:Organization
Organization Name:VDM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-688-1006
Mailing Address - Street 1:11106 SUPERIOR LNDG
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3491
Mailing Address - Country:US
Mailing Address - Phone:240-688-1006
Mailing Address - Fax:301-809-3459
Practice Address - Street 1:11106 SUPERIOR LANDING
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720
Practice Address - Country:US
Practice Address - Phone:240-688-1006
Practice Address - Fax:301-809-3459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies