Organization
PRIME WOUND CARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MAIRS IV (OWNER)
(401) 497-2204
Entity
Organization
Contact information
Practice address
3047 E MAIN RD STE 2A, PORTSMOUTH, RI 02871-4262
(401) 251-4253
(800) 887-9762
Mailing address
3047 E MAIN RD STE 2A, PORTSMOUTH, RI 02871-4262
(401) 251-4253
(800) 887-9762
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Enumeration date
10/02/2006
Last updated
03/09/2021
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