Organization
121 CARE LLC
Active
Parent organization
121 CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
121 CARE LLC
Authorized official
ANDREW CANTWELL PEDTKE (CEO)
(612) 910-4164
Entity
Organization
Contact information
Practice address
215 E 73RD ST, NEW YORK, NY 10021-3653
(855) 572-0400
Mailing address
215 E 73RD ST, NEW YORK, NY 10021-3653
(855) 572-0400
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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