MEDICARE: TRINITY MEDICAL SUPPLY AND NURSING SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043274103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY MEDICAL SUPPLY AND NURSING SERVICE

Provider Business Mailing Address
First Line	:	7600 GEORGIA AVE NW
Second Line	:	220
City	:	WASHINGTON
State	:	DC
Zip	:	20012-1616
Country	:	US
Telephone Number	:	202-723-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 GEORGIA AVE NW
Second Line	:	220
City	:	WASHINGTON
State	:	DC
Zip	:	20012-1616
Country	:	US
Telephone Number	:	202-723-5900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IZU MBAH
Credential	:
Telephone Number	:	202-723-5900

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	11/27/2007

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Directions to “TRINITY MEDICAL SUPPLY AND NURSING SERVICE ” Practice Location

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