Organization Name: | JOANNE'S BED & BACK STORE'S INC |
NPI Number: | 1528096799 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUANITA LOUISE O'DELL (OFFICER/VICE PRESIDENT OF FINANCE) |
Mailing Address: | 11714 Baltimore Ave Beltsville |
State: | MD US |
Postal Code: | 207051850 |
Phone Number: | 3012100023 |
Fax Number: | 3012107557 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 08/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 04834991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |