PROVIDACARE MEDICAL SUPPLY LTD

DULUTH, MN
NPI1386895746
Entity TypeOrganization
Authorized ContactADAM WAYNE BLUMENSHEIN
Partner
512-733-6518
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2008-10-03
Last Update Date2009-01-30
Business Address
PROVIDACARE MEDICAL SUPPLY LTD
831 E 2ND ST
DULUTH, MN 55805-2103
Phone number: 218-727-5555
Mailing Address
PROVIDACARE MEDICAL SUPPLY LTD
3721 EXECUTIVE CENTER DR SUITE 102
AUSTIN, TX 78731-1645
Phone number: 512-733-6518