Providacare Medical Supply Ltd

NPI #1386895746 in Duluth, Minnesota

Provider Information

NPI Number
1386895746
Entity Type
Organization
Organization Name
Providacare Medical Supply Ltd
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 3, 2008
Last Updated
Jan 30, 2009

Practice Location

Address
831 E 2ND ST
City
Duluth
ZIP Code
55805-2103
Phone
(218) 727-5555

Authorized Official

Name
MR. ADAM WAYNE BLUMENSHEIN
Title
PARTNER
Phone
(512) 733-6518

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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