Provider Demographics
NPI:1821730540
Name:PAGE CAREAGE MANAGEMENT INC.
Entity Type:Organization
Organization Name:PAGE CAREAGE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SZYMANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-660-0681
Mailing Address - Street 1:1364 S POWELL DR
Mailing Address - Street 2:
Mailing Address - City:KANAB
Mailing Address - State:UT
Mailing Address - Zip Code:84741-6208
Mailing Address - Country:US
Mailing Address - Phone:928-660-0681
Mailing Address - Fax:866-300-9276
Practice Address - Street 1:1107 GRANDVIEW ST
Practice Address - Street 2:
Practice Address - City:PAGE
Practice Address - State:AZ
Practice Address - Zip Code:86040-0699
Practice Address - Country:US
Practice Address - Phone:928-660-0681
Practice Address - Fax:866-300-9276
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAGE CAREAGE MANAGEMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility