Organization · NPI-2

121 Care LLC

Prosthetic/Orthotic Supplier · San Francisco, CA

NPI number1881050185
StatusActive
Last updated in NPPESFeb 21, 2017

Details

NPI
1881050185
Entity type
Organization (NPI-2)
Legal business name
121 Care LLC
Organization subpart
Yes
Enumeration date
Jan 4, 2016
Last updated
Feb 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

424 9th St
Suite 200
San Francisco, CA 94103-4411

Phone 855-572-0400

Mailing address

424 9th St
Suite 200
San Francisco, CA 94103-4411

Phone 855-572-0400

Authorized official

Andrew Pedtke
Owner
6508736695

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