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General NPI Number Information
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NPI Number | 1659878676
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEALTH CARE SERVICES INC
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 5620 CHERRY ST STE B
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City | PANAMA CITY
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State | FL
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Zip | 32404-6766
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Country | US
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Telephone | 850-563-7853
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Fax |
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Provider Business Mailing Address
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Address Line | 14965 STATE HIGHWAY 59 STE 102
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City | FOLEY
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State | AL
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Zip | 36535-2471
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Country | US
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Telephone | 251-947-5593
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Fax |
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Authorized Official
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Title or Position | VP
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Name | MRS. LISA J WELLS
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Credential |
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Telephone | 205-221-8258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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