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Organization

121 CARE LLC

Active
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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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