Organization
P-CARES MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVJATOSLAV JAKOVLEV (OWNER)
(601) 786-0888
Entity
Organization
Contact information
Practice address
126 S COMMERCE ST STE 205, NATCHEZ, MS 39120-3317
(601) 786-0888
(844) 580-5027
Mailing address
126 S COMMERCE ST STE 205, NATCHEZ, MS 39120-3317
(601) 786-0888
(844) 580-5027
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
08/23/2016
Last updated
11/30/2022
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