Provider Demographics
NPI:1235465949
Name:UNITED TELECARE INC.
Entity Type:Organization
Organization Name:UNITED TELECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:ADDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-305-4100
Mailing Address - Street 1:103 W 3RD AVE N
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:MN
Mailing Address - Zip Code:55705-1331
Mailing Address - Country:US
Mailing Address - Phone:218-305-4100
Mailing Address - Fax:
Practice Address - Street 1:103 W 3RD AVE N
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:MN
Practice Address - Zip Code:55705-1331
Practice Address - Country:US
Practice Address - Phone:218-305-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care