Organization
OMICRON CARE, LLC
Active
Other names
Beacon Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN T POWERS (CEO)
(334) 462-2460
Entity
Organization
Contact information
Practice address
3066 ZELDA RD, PMB # 318, MONTGOMERY, AL 36106-2651
(334) 310-1012
Mailing address
3066 ZELDA RD, PMB # 318, MONTGOMERY, AL 36106-2651
(334) 310-1012
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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