NPI | 1295427409 |
---|---|
Former Legal Business Name | ECO CLEAN PR LLC |
Entity Type | Organization |
Authorized Contact | SANDRA I. ROSA Chief Executive Officer 877-560-3151 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2023-05-25 |
Last Update Date | 2023-05-25 |