Provider Demographics
NPI:1629322920
Name:AT YOUR SERVICE GERIATRIC CARE MANAGEMENT, INC
Entity Type:Organization
Organization Name:AT YOUR SERVICE GERIATRIC CARE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:8282-008-9000
Mailing Address - Street 1:348 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-7002
Mailing Address - Country:US
Mailing Address - Phone:828-200-9000
Mailing Address - Fax:828-526-0066
Practice Address - Street 1:348 S 5TH ST
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7002
Practice Address - Country:US
Practice Address - Phone:828-200-9000
Practice Address - Fax:828-526-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4274253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care