Basic Information
Provider Information
NPI: 1427153295
EntityType: 2
ReplacementNPI:  
OrganizationName: ALL CARE MEDICAL SERVICES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 401 CENTER AVENUE
Address2:  
City: BAY CITY
State: MI
PostalCode: 48708
CountryCode: US
TelephoneNumber: 9898912206
FaxNumber: 9898935268
Practice Location
Address1: 541 SOUTH STATE RD 7
Address2: SUITE 10
City: MARGATE
State: FL
PostalCode: 33068
CountryCode: US
TelephoneNumber: 9549841775
FaxNumber: 9549841755
Other Information
ProviderEnumerationDate: 09/14/2006
LastUpdateDate: 08/30/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ALBA
AuthorizedOfficialFirstName: MARIA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: ADMINISTRATOR
AuthorizedOfficialTelephone: 9549841775
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251E00000X FLY AgenciesHome Health 

No ID Information.


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