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General NPI Number Information
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NPI Number | 1679051502
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Entity Type | Organization
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Legal Business Name | PRO CARE UNLIMITED, INC
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 24725 W 12 MILE RD STE 200
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8344
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Country | US
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Telephone | 248-885-8640
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Fax |
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Provider Business Mailing Address
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Address Line | 24725 W 12 MILE RD STE 200
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8344
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Country | US
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Telephone | 248-885-8640
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTOPHER SAROKI
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Credential |
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Telephone | 248-885-8640
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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 | 5306005138
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License Number State | MI
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