| Organization Name: | GLICKMAN DESIGN BUILD, LLC |
| NPI Number: | 1649503624 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL C GLCKMAN (MANAGER) |
| Mailing Address: | 14516 Pebblewood Dr North Potomac |
| State: | MD US |
| Postal Code: | 208784311 |
| Phone Number: | 3014444663 |
| Fax Number: | 3012946093 |
| NPI Enumeration Date: | 09/09/2009 |
| NPI Last Update Date: | 09/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | MHIC# 9793 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |