Organization
PERSONAL INCONTINENT CARE, INC.
Active
Other names
Personal Care Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORA L ACKER (PRESIDENT / CEO)
(260) 483-7720
Entity
Organization
Contact information
Practice address
7501 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4131
(260) 483-7720
(260) 483-7721
Mailing address
7501 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4131
(260) 483-7720
(260) 483-7721
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0104319771
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200230430A
—
IN
Enumeration date
10/10/2005
Last updated
03/20/2014
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