| Organization Name: | OPTION CARE ENTERPRISES, INC. |
| NPI Number: | 1700827631 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLIFF BERMAN (SECRETARY) |
| Mailing Address: | 50 64th Ave S Coopersville |
| State: | MI US |
| Postal Code: | 494041391 |
| Phone Number: | 6169972611 |
| Fax Number: | 6169970326 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QI0500X |
| License Number: | 5301006609 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Infusion Therapy |
| Taxonomy Definition: | |