Provider Demographics
NPI:1578306817
Name:TRUCARE PERSONALIZED HOME CARE
Entity type:Organization
Organization Name:TRUCARE PERSONALIZED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALLSOP
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:406-961-4990
Mailing Address - Street 1:1002 US HIGHWAY 93 N STE 1
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:MT
Mailing Address - Zip Code:59875-9788
Mailing Address - Country:US
Mailing Address - Phone:406-961-4990
Mailing Address - Fax:
Practice Address - Street 1:1002 US HIGHWAY 93 N STE 1
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:MT
Practice Address - Zip Code:59875-9788
Practice Address - Country:US
Practice Address - Phone:406-961-4990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health