MEDICARE: REAL CARING INC.

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	1041C0700X	Clinical Social Worker	370919-3501	UT

General Provider Information

NPI Number	:	1700220381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REAL CARING INC.

Provider Business Mailing Address
First Line	:	455 E 200 S STE 110
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-2156
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	455 E 200 S STE 110
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-2156
Country	:	US
Telephone Number	:	801-712-6140
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHANNON MCQUADE
Credential	:	LCSW
Telephone Number	:	801-712-6140

Provider Enumeration Date	:	04/25/2013
Last Update Date	:	04/25/2013

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Directions to “REAL CARING INC. ” Practice Location

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