Organization
PELV-ICE LLC
Active
Parent organization
PELV-ICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PELV-ICE LLC
Authorized official
MS. JILL BIGELOW (FOUNDER/CEO)
(310) 927-3053
Entity
Organization
Contact information
Practice address
1118 MISSION ST, SOUTH PASADENA, CA 91030-3212
(310) 961-3626
Mailing address
1118 MISSION ST, SOUTH PASADENA, CA 91030-3212
(310) 961-3626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
10/22/2015
Last updated
07/21/2022
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