Organization
FIRST CARE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARUT ANTONIAN (CEO)
(928) 855-6633
Entity
Organization
Contact information
Practice address
30 SCOTT DRIVE, UNIT B, LAKE HAVASU, AZ 86403
(928) 855-6633
(928) 855-6643
Mailing address
30 SCOTT DRIVE, UNIT B, LAKE HAVASU, AZ 86403
(928) 855-6633
(928) 855-6643
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18425
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18425
BUSSINESS LICENSE
AZ
Enumeration date
06/09/2008
Last updated
06/09/2008
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