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Organization
CIVIL ASSIST PATIENT CARE SERVICES
Active
Organization
CIVIL ASSIST PATIENT CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWAN CARTER (PRESIDENT)
(312) 684-6020
Entity
Organization
Contact information
Practice address
105 WALNUT ST, VALLEY, AL 36854-4240
(312) 684-6020
Mailing address
1067 JOHNSON LN, VALLEY, AL 36854-5523
(312) 684-6020
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/28/2023
Last updated
04/29/2023
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