Organization Name: | CHROLOMA HEALTHSYSTEM LLC |
NPI Number: | 1003109224 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAMATUS NAMBAI (DIRECTOR) |
Mailing Address: | 4717 Eiderdown Ct Owings Mills |
State: | MD US |
Postal Code: | 211176212 |
Phone Number: | 3015231378 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2011 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | R3033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |