Pacific Medical Resources, INC.
Nursing Care in Fort Bragg, CA. Organization (NPI-2).
NPI number1326288317
StatusActive
Last updated in NPPESApr 27, 2011
Details
- NPI
- 1326288317
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Medical Resources, INC.
- Organization subpart
- No
- Enumeration date
- Mar 3, 2009
- Last updated
- Apr 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | 010000339 | CA | Yes |
Practice location
1102 S Main St # 3Fort Bragg, CA 95437-5305
Phone 707-964-2000
Mailing address
1102 S Main St # 3Fort Bragg, CA 95437-5305
Phone 707-964-2000
Authorized official
Michele White
Cfo
7079642000
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