Provider Demographics
NPI:1386462802
Name:SAINT GEORGE CARE SERVICES LLC
Entity type:Organization
Organization Name:SAINT GEORGE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KADOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-420-0210
Mailing Address - Street 1:1057 SNEAD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3316
Mailing Address - Country:US
Mailing Address - Phone:586-420-0210
Mailing Address - Fax:
Practice Address - Street 1:1057 SNEAD DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3316
Practice Address - Country:US
Practice Address - Phone:586-420-0210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health