Organization
HOME CARE ADMINISTRATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PEVNICK (OWNER)
(314) 653-0918
Entity
Organization
Contact information
Practice address
2411 E PLAZA BLVD, NATIONAL CITY, CA 91950-5101
(619) 475-2184
Mailing address
2865 NETHERTON DR, SAINT LOUIS, MO 63136-4674
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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