# PELV-ICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PELV-ICE LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194197780
- **Legal business name:** PELV-ICE LLC
- **Authorized official:** MS. JILL BIGELOW (FOUNDER/CEO)
- **Authorized official phone:** (310) 927-3053

## Contact information

- **Practice address:** 1118 MISSION ST, SOUTH PASADENA, CA 91030-3212
- **Practice address phone:** (310) 961-3626
- **Mailing address:** 1118 MISSION ST, SOUTH PASADENA, CA 91030-3212
- **Mailing address phone:** (310) 961-3626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 07/21/2022