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NPI Code Detail

MEDICARE: CAREAGE MANAGEMENT, LLC

MEDICARE: CAREAGE MANAGEMENT, 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1922290998
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREAGE MANAGEMENT, LLC
Provider Business Mailing Address
First Line : 728 14TH AVE N
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-7016
Country : US
Telephone Number : 712-293-0117
Fax Number : 712-293-0356
Provider Business Practice Location Address
First Line : 728 14TH AVE N
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-7016
Country : US
Telephone Number : 712-293-0117
Fax Number : 712-293-0356
Authorized Official
Title or Position : PRESIDENT
Name : MR. DANIEL THOMAS MYERS
Credential :
Telephone Number : 712-293-0117
Provider Enumeration Date : 08/14/2007
Last Update Date : 06/02/2008

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Directions to “CAREAGE MANAGEMENT, LLC ” Practice Location

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