# ADULT CARE SUPPLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649919945
- **Authorized official:** TERESA POURKAY (OWNER)
- **Authorized official phone:** (239) 339-7852

## Contact information

- **Practice address:** 1315 NW 11TH ST, CAPE CORAL, FL 33993-6055
- **Practice address phone:** (239) 339-7852
- **Mailing address:** 1315 NW 11TH ST, CAPE CORAL, FL 33993-6055
- **Mailing address phone:** (239) 339-7852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 06/03/2022
- **Last updated:** 06/03/2022