Healthcare Provider Details
I. General information
NPI: 1386973840
Provider Name (Legal Business Name): ABIDING HEALTH CARE SERVICES L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2009
Last Update Date: 12/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9420 ANNAPOLIS RD STE 203
LANHAM MD
20706-3032
US
IV. Provider business mailing address
9420 ANNAPOLIS RD STE 203
LANHAM MD
20706-3032
US
V. Phone/Fax
- Phone: 301-675-9220
- Fax:
- Phone: 301-675-9220
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | R2850 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BN1400X |
| Taxonomy | Nursing Facility Supplies (DME) |
| License Number | R2850 |
| License Number State | MD |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | R2850 |
| License Number State | MD |
VIII. Authorized Official
Name: MRS.
FATTU
SALIA
Title or Position: OWNER
Credential:
Phone: 301-675-9220