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Organization

ADULT CARE SUPPLY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA POURKAY (OWNER)
(239) 339-7852
Entity
Organization

Contact information

Practice address
1315 NW 11TH ST, CAPE CORAL, FL 33993-6055
(239) 339-7852
Mailing address
1315 NW 11TH ST, CAPE CORAL, FL 33993-6055
(239) 339-7852

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BN1400X
Nursing Facility Supplies (DME)

Other

Enumeration date
06/03/2022
Last updated
06/03/2022
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