Organization
PACIFIC MEDICAL RESOURCES, INC.
Active
Other names
Mendocino/Lake/Humboldt/Pacific Caregivers and Mendocino Nursing Servi
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA CARTER (OWNER)
(707) 964-2000
Entity
Organization
Contact information
Practice address
1102 S MAIN ST, SUITE #3, FORT BRAGG, CA 95437-5305
(707) 964-2000
Mailing address
1102 SOUTH MAIN STREET, SUITE #3, FORT BRAGG, CA 95437
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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