Organization
MAXCARE LLC
Active
Other names
MAXCARE MEDICAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN BARISIC (OWNER)
(509) 619-1498
Entity
Organization
Contact information
Practice address
7103 W GRANDRIDGE BLVD, SUITE A, KENNEWICK, WA 99336
(509) 619-1498
(509) 931-0880
Mailing address
7103 W GRANDRIDGE BLVD, SUITE A, KENNEWICK, WA 99336-6713
(509) 619-1498
(509) 931-0880
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
602869617
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9062431
—
WA
Enumeration date
11/04/2008
Last updated
05/03/2011
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