Organization
WELL CARE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NKEM N UDEH (CEO)
(347) 792-8182
Entity
Organization
Contact information
Practice address
1460 ROYCE ST FL 2, BROOKLYN, NY 11234-5924
(347) 792-8182
Mailing address
1460 ROYCE ST FL 2, BROOKLYN, NY 11234-5924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1265667
NY
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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