Organization
RETIRE CARE INVESTMENT COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK FALLAW (OWNER)
(229) 268-7510
Entity
Organization
Contact information
Practice address
712 PATTERSON ST, BYROMVILLE, GA 31007
(229) 268-7510
(229) 268-4716
Mailing address
712 PATTERSON ST, BYROMVILLE, GA 31007
(229) 268-7510
(229) 268-4716
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
3688
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
3688
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000718517A
—
GA
Enumeration date
06/14/2007
Last updated
03/06/2009
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