| NPI | 1710266150 |
|---|---|
| Doing Business As | PROCARE DIRECT |
| Entity Type | Organization |
| Authorized Contact | MARK LATHAM Managing Member 801-709-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2015-07-07 |