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MARYLAND REAL LIFE DESIGNS LLC NPI 1912216557


NPI Information

NPI: 1912216557
Provider Name: MARYLAND REAL LIFE DESIGNS, LLC

Doing Business As: REAL LIFE PROSTHETICS

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
100 BIDDLE AVE
SUITE 100
NEWARK, DE
ZIP 19702
Phone: (302) 392-1947
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MARYLAND REAL LIFE DESIGNS, LLC is a prosthetic orthotic supplier in Newark, DE. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MARYLAND REAL LIFE DESIGNS, LLC NPI is 1912216557. The provider is registered as an organization entity type.
The provider Is Doing Business As Real Life Prosthetics.

The provider's business location address is:

100 BIDDLE AVE
SUITE 100
NEWARK, DE
ZIP 19702-981
Phone: (302) 392-1947

The provider's authorized official is Sandra Yeater .
The authorized official title is Member/cfo and has the following contact phone number (410) 569-0606.

The enumeration date for this NPI number is 9/30/2010 and was last updated on 1/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101110310MEDICAIDMARYLAND
24090110002OTHERMARYLANDMEDICARE JA
34090110001OTHERMARYLANDMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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