Organization
NUTRITIONAL CARE LLC
Active
Organization
NUTRITIONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM WEBER (CO PRESIDENT)
(870) 776-0001
Entity
Organization
Contact information
Practice address
845 E MAIN ST, BLYTHEVILLE, AR 72315-2521
(870) 776-0001
(800) 625-7715
Mailing address
845 E MAIN ST, BLYTHEVILLE, AR 72315-2521
(870) 776-0001
(800) 625-7715
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49870
AR BSBS
AR
Enumeration date
12/28/2006
Last updated
08/22/2020
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