Organization
PROVIDER CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE RON GUINS (PRESIDENT)
(318) 688-8107
Entity
Organization
Contact information
Practice address
7505 PINES RD, SUITE 1190, SHREVEPORT, LA 71129-3929
(318) 688-8107
(318) 686-0041
Mailing address
7505 PINES RD, SUITE 1190, SHREVEPORT, LA 71129-3929
(318) 688-8107
(318) 686-0041
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
015065287
MS
332B00000X
Durable Medical Equipment & Medical Supplies
019017722
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440426
—
MS
Enumeration date
02/09/2007
Last updated
01/28/2010
Update your record
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