NPI | 1194914689 |
---|---|
Doing Business As | PROVICARE |
Entity Type | Organization |
Authorized Contact | AVESTA RASOULI President/ CEO 310-466-3738 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 48181) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-11-19 |