Provider Demographics
NPI:1790858785
Name:SECURE CARE, INC.
Entity type:Organization
Organization Name:SECURE CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:UDELL
Authorized Official - Last Name:RODEWOLT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:912-356-5469
Mailing Address - Street 1:351 COMMERCIAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3618
Mailing Address - Country:US
Mailing Address - Phone:912-356-5469
Mailing Address - Fax:912-356-5472
Practice Address - Street 1:351 COMMERCIAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31416
Practice Address - Country:US
Practice Address - Phone:912-356-5469
Practice Address - Fax:912-356-5472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA025-R-0006251E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies