Organization
PROCARE HOME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAFAEL C CASTRO (OWNER)
(602) 703-7778
Entity
Organization
Contact information
Practice address
12420 W THUNDERBIRD RD # 11C, EL MIRAGE, AZ 85335-3113
(602) 703-7778
Mailing address
PO BOX 751, EL MIRAGE, AZ 85335-0751
(602) 703-7778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20043579
AZ
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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