Organization
PROCARE HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL REBECCA SYCKS (PRESIDENT)
(907) 274-0770
Entity
Organization
Contact information
Practice address
5050 E DUNBAR DR, STE C2, WASILLA, AK 99654-7758
(907) 357-7882
(907) 357-7883
Mailing address
725 NORTHWAY DR, ANCHORAGE, AK 99508-2030
(907) 274-0770
(907) 274-0773
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
405559
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS9610
—
AK
Enumeration date
10/18/2006
Last updated
12/18/2008
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