Organization
PERSONAL CARE PRODUCTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD R STATLER (OWNER)
(636) 536-4152
Entity
Organization
Contact information
Practice address
500 HUBER PARK CT, SUITE 106, WELDON SPRING, MO 63304-8683
(800) 575-0302
(636) 536-1242
Mailing address
500 HUBER PARK CT, SUITE 106, WELDON SPRING, MO 63304-8683
(800) 575-0302
(636) 536-1242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17139112
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010210330
—
VA
05
—
016760301
—
TX
05
—
0530246
—
IA
05
—
136132716
—
AR
05
—
200233320
—
IN
05
—
2515513
—
OH
05
—
30905575
—
NM
05
—
440014300
—
MN
05
—
5606056
—
MT
05
—
7100014190
—
KY
05
—
805254300
—
ID
05
—
9047432
—
WA
05
—
97634255
—
CO
Enumeration date
08/07/2006
Last updated
05/05/2014
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