Organization · NPI-2

Cherry Lane Medical Supply

Durable Medical Equipment & Medical Supplies · Laurel, MD

NPI number1225204902
StatusActive
Last updated in NPPESSep 9, 2008

Details

NPI
1225204902
Entity type
Organization (NPI-2)
Legal business name
Cherry Lane Medical Supply
Organization subpart
Yes
Enumeration date
May 2, 2008
Last updated
Sep 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical SuppliesR175280MDYes

Other names

  • Cherry Lane Medical Staffing And Home Health. (Other Name)

Practice location

8730 Cherry Ln
10b
Laurel, MD 20707-6212

Phone 301-776-1903 · Fax 301-776-1946

Mailing address

14440 Cherry Lane Ct
Suite 223
Laurel, MD 20707-4946

Phone 240-295-0803 · Fax 187-729-5080

Authorized official

Onyekachi Kagha
President
2402950803

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