P-Cares Medical Supplies, LLC

Organization Active NPI In Home Supportive Care Agency · Fayette, MS

NPI 1851874994 · NPPES record last updated Sep 14, 2018

Key facts

NPI
1851874994
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
P-CARES MEDICAL SUPPLIES, LLC
Practice address
3476 River Rd
Fayette, MS 39069-4602
Phone
(601) 597-4840
NPI assigned
Sep 14, 2018
Organization subpart
Yes
Parent organization (as reported)
ONE LOVE INDEPENDENT LIVING

Authorized official

Name
Mr. Alford Perryman
Title
Ceo / Director
Phone
(601) 786-0888

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
P-Cares Medical Supplies LLC (2 organizations share this tax ID)
Part of
P-Cares Medical Supplies LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes
Personal Care Attendant
Group: 193200000X MULTI-SPECIALTY GROUP
3747P1801X
Nurse's Aide
Group: 193200000X MULTI-SPECIALTY GROUP
376K00000X

Addresses

Primary practice location

3476 River Rd
Fayette, MS 39069-4602

Mailing address

3476 River Rd
Fayette, MS 39069-4602
Phone (601) 597-4840

Other names

  • One Love Independent Living Doing business as

Other providers in Fayette, MS

All providers in Fayette, MS · In Home Supportive Care Agency in Mississippi

Sources for this page

Verify at the official NPI Registry.