Organization
PROCARE MEDICAL,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANDALA NICOLE SMITH (OFFICER)
(866) 883-3453
Entity
Organization
Contact information
Practice address
1406 S WALTON BLVD, SUITE 15, BENTONVILLE, AR 72712-6626
(866) 883-3453
Mailing address
1406 S WALTON BLVD, SUITE 15, BENTONVILLE, AR 72712-6626
(866) 883-3453
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/18/2007
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