Organization Name: | GIANT OF MARYLAND LLC |
NPI Number: | 1508891557 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD DAYTON (DIRECTOR) |
Mailing Address: | 5870 Kingstowne Ctr Alexandria |
State: | VA US |
Postal Code: | 223155704 |
Phone Number: | 7033138092 |
Fax Number: | 7033134190 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0201003331 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |