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Organization

PROCARE TRANSPORT

Active
Parent organization
PROCARE RESIDENTIAL SERVICES LLC
Other names
Procare Residential Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROCARE RESIDENTIAL SERVICES LLC
Authorized official
MR. OGBEMUDIA IYOHA RN (CEO)
(269) 352-1845
Entity
Organization

Contact information

Practice address
1465 LATITUDES WAY, RICHMOND, CA 94804
(734) 589-5092
Mailing address
1465 LATITUDES WAY, RICHMOND, CA 94804
(734) 589-5092

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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