| Organization Name: | AMANIS MEDICAL SUPPLY |
| NPI Number: | 1275987935 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLUBUNMI GREEN (PRESIDENT) |
| Mailing Address: | 176 Leeds Creek Cir Odenton |
| State: | MD US |
| Postal Code: | 211133903 |
| Phone Number: | 2403540269 |
| Fax Number: | 4106742232 |
| NPI Enumeration Date: | 04/19/2016 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | R3870 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |