# 911 BIOCARE LLC

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

## Provider details

- **NPI number:** 1912240623
- **Authorized official:** MR. WAYNE WOMACK (OWNER)
- **Authorized official phone:** (855) 901-0911

## Contact information

- **Practice address:** 330 ALABAMA STREET, SUITE D, REDLANDS, CA 92373
- **Practice address phone:** (855) 901-0911
- **Practice address fax:** (909) 335-4886
- **Mailing address:** 330 ALABAMA STREET, SUITE D, REDLANDS, CA 92373
- **Mailing address phone:** (855) 901-0911
- **Mailing address fax:** (909) 335-4886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2013
- **Last updated:** 11/16/2017