Provider Demographics
NPI:1003259995
Name:CANADAY CARE, LLC
Entity type:Organization
Organization Name:CANADAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CANADAY
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:740-645-7598
Mailing Address - Street 1:10 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1802
Mailing Address - Country:US
Mailing Address - Phone:740-446-2929
Mailing Address - Fax:740-446-4134
Practice Address - Street 1:10 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1802
Practice Address - Country:US
Practice Address - Phone:740-446-2929
Practice Address - Fax:740-446-4134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12223NP364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Single Specialty