Organization
PA CARE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMARIE TORRES (PRESIDENT)
(267) 766-3636
Entity
Organization
Contact information
Practice address
3460 J ST UNIT 3, PHILADELPHIA, PA 19134-1475
(267) 766-3636
Mailing address
3460 J ST UNIT 3, PHILADELPHIA, PA 19134-1475
(267) 766-3636
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6000010559
CERTIFICATE NUMBER
PA
Enumeration date
01/24/2023
Last updated
01/24/2023
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