Healthcare Provider Details

I. General information

NPI: 1487110391
Provider Name (Legal Business Name): REBECCA-CHARLES INTERNATIONAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4659 DE BREBEUF
MONTREAL QC
H2J 3L2
CA

IV. Provider business mailing address

4659 DE BREBEUF
MONTREAL QC
H2J 3L2
CA

V. Phone/Fax

Practice location:
  • Phone: 514-524-9017
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ROBERGE
Title or Position: OWNER
Credential:
Phone: 514-524-9017