Organization
PROCARE MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD H LAMBERT JR. (OWNER)
(414) 254-4020
Entity
Organization
Contact information
Practice address
S93W31636 GENA DR, MUKWONAGO, WI 53149-8273
(414) 254-4020
Mailing address
S93W31636 GENA DR, MUKWONAGO, WI 53149-8273
(414) 254-4020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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