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Organization

PATIENT CARE MEDICAL SERVICES, INC.

Active
Other names
Patient Care
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
300 EXECUTIVE DR STE 10, WEST ORANGE, NJ 07052-3310
(973) 243-6299
(973) 419-6004
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
70705
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3691101
NJ
Enumeration date
11/08/2005
Last updated
11/27/2023
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