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NPI Code Detail

MEDICARE: PROCARE REHAB AND WOUND SOLUTIONS PROF CORP

MEDICARE: PROCARE REHAB AND WOUND SOLUTIONS PROF CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center71000903IN

General Provider Information

NPI Number : 1629406111
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROCARE REHAB AND WOUND SOLUTIONS PROF CORP
Provider Business Mailing Address
First Line : PO BOX 2337
Second Line :
City : WASHINGTON
State : IN
Zip : 47501-0977
Country : US
Telephone Number : 812-254-6420
Fax Number :
Provider Business Practice Location Address
First Line : 1110 E MAIN ST
Second Line :
City : WASHINGTON
State : IN
Zip : 47501-3031
Country : US
Telephone Number : 812-254-6420
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : LINDA OBASEKI
Credential :
Telephone Number : 812-254-6420
Provider Enumeration Date : 10/22/2013
Last Update Date : 10/22/2013

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Directions to “PROCARE REHAB AND WOUND SOLUTIONS PROF CORP ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.