| NPI | 1477002079 |
|---|---|
| Former Legal Business Name | ICARE-USA LLC |
| Entity Type | Organization |
| Authorized Contact | ANECETO ALCANTARA MENDOZA President/CEO 619-547-9394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA 201618710208) |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2016-09-25 |