National Provider Identifier Database

AGE WISE CARE MANAGEMENT INC
Professional


Contact Information

AGE WISE CARE MANAGEMENT INC.
101 W TOMARAS AVE STE 5152
SAVOY, IL61874-9547
Phone: 217-493-3086
Fax: 888-456-5007
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Adult Mental Health 261QM0850X
Case Management 251B00000X

* Indicates primary specialty

NPI Profile & details for AGE WISE CARE MANAGEMENT INC.

NPI Number 1255952255
Legal business name
LBN
AGE WISE CARE MANAGEMENT INC.
Authorized official MELISSA CRONIN - (OWNER/COUNSELOR)
Entity Organization
Organization subpart No
Enumeration date 04/30/2020
Last updated 04/30/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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