Provider Demographics
NPI:1336376300
Name:RESPLIFE MEDICAL SOLUTIONS, INC.
Entity type:Organization
Organization Name:RESPLIFE MEDICAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON- CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-880-3261
Mailing Address - Street 1:9332 ANNAPOLIS RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3113
Mailing Address - Country:US
Mailing Address - Phone:301-880-3261
Mailing Address - Fax:888-711-8307
Practice Address - Street 1:9332 ANNAPOLIS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3113
Practice Address - Country:US
Practice Address - Phone:301-880-3261
Practice Address - Fax:888-711-8307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16370647332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD417344900Medicaid
DC045708600Medicaid
MD417344900Medicaid