Organization
GENCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L HICKS RPSGT (MANAGING PARTNER)
(573) 701-9191
Entity
Organization
Contact information
Practice address
200 W 1ST ST STE 192, SUITE 192, FARMINGTON, MO 63640-2521
(573) 701-9191
(573) 701-9190
Mailing address
200 W 1ST ST STE 192, SUITE 192, FARMINGTON, MO 63640-2521
(573) 701-9191
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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