Provider Demographics
NPI:1942574561
Name:CARE-A-LOT ELDER CARE, LLC
Entity Type:Organization
Organization Name:CARE-A-LOT ELDER CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-894-4409
Mailing Address - Street 1:34825 254TH ST
Mailing Address - Street 2:
Mailing Address - City:PUKWANA
Mailing Address - State:SD
Mailing Address - Zip Code:57370-6412
Mailing Address - Country:US
Mailing Address - Phone:605-894-4409
Mailing Address - Fax:
Practice Address - Street 1:34825 254TH ST
Practice Address - Street 2:
Practice Address - City:PUKWANA
Practice Address - State:SD
Practice Address - Zip Code:57370-6412
Practice Address - Country:US
Practice Address - Phone:605-894-4409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care