Provider Demographics
NPI:1710218391
Name:PROVIDERS OF CARE INC
Entity Type:Organization
Organization Name:PROVIDERS OF CARE INC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-262-2605
Mailing Address - Street 1:11 DREXEL CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2801
Mailing Address - Country:US
Mailing Address - Phone:856-262-2605
Mailing Address - Fax:856-404-9253
Practice Address - Street 1:11 DREXEL CT
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-2801
Practice Address - Country:US
Practice Address - Phone:856-262-2606
Practice Address - Fax:856-404-9253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No347B00000XTransportation ServicesBusGroup - Multi-Specialty