Organization Name: | PROCARE HEALING CENTERS, LLP |
NPI Number: | 1457450462 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAIL S. DEVILLIERS (CEO) |
Mailing Address: | 1208 N. Council Rd. Oklahoma City |
State: | OK US |
Postal Code: | 731274987 |
Phone Number: | 4076080350 |
Fax Number: | 4056080349 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 05/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |