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NPI Code Detail

MEDICARE: KATHY JO JULIUS

MEDICARE: KATHY JO JULIUS
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285776211
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY JO JULIUS
Provider Business Mailing Address
First Line : PO BOX 89306
Second Line : VOLUNTEERS OF AMERICA-DAKOTAS
City : SIOUX FALLS
State : SD
Zip : 57109-9306
Country : US
Telephone Number : 605-367-4293
Fax Number : 605-367-5714
Provider Business Practice Location Address
First Line : 908 N. WEST AVENUE
Second Line : VOLUNTEERS OF AMERICA-DAKOTAS
City : SIOUX FALLS
State : SD
Zip : 57104-5722
Country : US
Telephone Number : 605-367-4293
Fax Number : 605-367-5714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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