MEDICARE: CAREREACH MEDICAL SUPPLY

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	R2889	MD

General Provider Information

NPI Number	:	1821366485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREREACH MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	9808 LIBERTY RD
Second Line	:	SUITE A
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-2007
Country	:	US
Telephone Number	:	410-205-2759
Fax Number	:	443-426-7482

Provider Business Practice Location Address
First Line	:	9808 LIBERTY RD
Second Line	:	SUITE A
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-2007
Country	:	US
Telephone Number	:	410-205-2759
Fax Number	:	443-426-7482

Authorized Official
Title or Position	:	OFFICER OF CORPORATION
Name	:	HELGA TANWANI
Credential	:
Telephone Number	:	410-205-2759

Provider Enumeration Date	:	12/09/2011
Last Update Date	:	12/09/2011

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Directions to “CAREREACH MEDICAL SUPPLY ” Practice Location

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