MEDICARE: INTEGRITY CARE LLC

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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1609001320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY CARE LLC

Provider Business Mailing Address
First Line	:	5324 MACCORKLE AVE SE
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-2200
Country	:	US
Telephone Number	:	304-205-7688
Fax Number	:	304-205-7688

Provider Business Practice Location Address
First Line	:	5324 MACCORKLE AVE SE
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-2200
Country	:	US
Telephone Number	:	304-205-7688
Fax Number	:	304-205-7688

Authorized Official
Title or Position	:	REGISTERED NURSE
Name	:	MR. JOHN MICHAEL POZEGA
Credential	:	RN
Telephone Number	:	304-415-9785

Provider Enumeration Date	:	05/26/2009
Last Update Date	:	05/26/2009

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