MEDICARE: ANAM CARA CORPORATION

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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1770026734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANAM CARA CORPORATION

Provider Business Mailing Address
First Line	:	3420 ELMORE AVE
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52807-2594
Country	:	US
Telephone Number	:	563-424-7777
Fax Number	:	563-355-0521

Provider Business Practice Location Address
First Line	:	3420 ELMORE AVE
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52807-2594
Country	:	US
Telephone Number	:	563-424-7777
Fax Number	:	563-355-0521

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ROXANNE BAUER
Credential	:
Telephone Number	:	563-424-7777

Provider Enumeration Date	:	11/23/2016
Last Update Date	:	11/23/2016

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Directions to “ANAM CARA CORPORATION ” Practice Location

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