Provider Demographics
NPI:1194051250
Name:MAGER HEALTHCARE GROUP INC.
Entity type:Organization
Organization Name:MAGER HEALTHCARE GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:941-365-1111
Mailing Address - Street 1:677 N WASHINGTON BLVD
Mailing Address - Street 2:SUITE #15
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4241
Mailing Address - Country:US
Mailing Address - Phone:941-365-1111
Mailing Address - Fax:941-365-9999
Practice Address - Street 1:677 N WASHINGTON BLVD
Practice Address - Street 2:SUITE #15
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4241
Practice Address - Country:US
Practice Address - Phone:941-365-1111
Practice Address - Fax:941-365-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health