| Organization Name: | MEDICAL HOUSE SUPPLY GROUP |
| NPI Number: | 1013143791 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SOUHAIL BENKAHLA (C.O.O) |
| Mailing Address: | 440 S Washington St Falls Church |
| State: | VA US |
| Postal Code: | 220464414 |
| Phone Number: | 7035332290 |
| Fax Number: | 7035332291 |
| NPI Enumeration Date: | 06/08/2009 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | 075758900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |