Healthcare Provider Details

I. General information

NPI: 1336376300
Provider Name (Legal Business Name): RESPLIFE MEDICAL SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 12/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9332 ANNAPOLIS RD SUITE 104
LANHAM MD
20706-3113
US

IV. Provider business mailing address

9332 ANNAPOLIS RD SUITE 104
LANHAM MD
20706-3113
US

V. Phone/Fax

Practice location:
  • Phone: 301-880-3261
  • Fax: 888-711-8307
Mailing address:
  • Phone: 301-880-3261
  • Fax: 888-711-8307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number16370647
License Number StateMD

VIII. Authorized Official

Name: JACQUELINE THOMPSON- CLARK
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 301-880-3261