Provider Demographics
NPI:1831416650
Name:MACY HEALTH MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:MACY HEALTH MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:POLITE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-510-8571
Mailing Address - Street 1:3002 ANNABELLE PL
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3842
Mailing Address - Country:US
Mailing Address - Phone:202-510-8571
Mailing Address - Fax:202-558-3828
Practice Address - Street 1:3002 ANNABELLE PL
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3842
Practice Address - Country:US
Practice Address - Phone:202-510-8571
Practice Address - Fax:202-558-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2884332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies