| Organization Name: | PROCARE HOME MEDICAL, INC. |
| NPI Number: | 1043391725 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL REBECCA SYCKS (PRESIDENT) |
| Mailing Address: | 5050 E Dunbar Dr Ste C2 Wasilla |
| State: | AK US |
| Postal Code: | 996547758 |
| Phone Number: | 9073577882 |
| Fax Number: | 9073577883 |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 12/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 405559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |