Organization
BLUE CARE OPCO FORT DODGE - NORTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHMEUL HAIKINS (OWNER)
(732) 637-9191
Entity
Organization
Contact information
Practice address
2721 10TH AVE N, FORT DODGE, IA 50501-2834
(732) 637-9191
Mailing address
36 AIRPORT RD # S206, LAKEWOOD, NJ 08701-7034
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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