Organization
PROCARE MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES PORTERFIELD (OPERATIONS MGR)
(573) 695-2203
Entity
Organization
Contact information
Practice address
603 N 6TH ST, BLYTHEVILLE, AR 72315-2409
(870) 776-1892
(870) 776-1894
Mailing address
603 N 6TH ST, BLYTHEVILLE, AR 72315-2409
(870) 776-1892
(870) 776-1894
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
27493578003
AR
Other
Enumeration date
08/07/2007
Last updated
09/04/2007
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