NPI 1194460311
Blue Care Opco Fort Dodge - North, LLC
Practice location
- Address
- 2721 10th Ave N, Fort Dodge, IA 50501-2834
- Phone
- (732) 637-9191
- Mailing address
- 36 Airport Rd # S206, Lakewood, NJ 08701-7034
Authorised official
- Name
- Shmeul Haikins
- Title
- Owner
- Phone
- (732) 637-9191
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1194460311
- Entity type
- Organization
- NPI issued
- 2 May 2022
- Record last updated
- 2 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.