| At Home Geriatric Counseling And Consultation | |
|
25 Camino Collado Edgewood NM 87015-9788 | |
| (505) 710-4278 | |
| (505) 407-4848 |
| Full Name | At Home Geriatric Counseling And Consultation |
|---|---|
| Speciality | Case Management |
| Location | 25 Camino Collado, Edgewood, New Mexico |
| Authorized Official Name and Position | Roxroy Anthony Reid (OWNER) |
| Authorized Official Contact | 5057104278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Home Geriatric Counseling And Consultation 25 Camino Collado Edgewood NM 87015-9788 Ph: (505) 710-4278 | At Home Geriatric Counseling And Consultation 25 Camino Collado Edgewood NM 87015-9788 Ph: (505) 710-4278 |
| NPI Number | 1891044517 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891044517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-06926 (New Mexico) | Secondary |
| 251B00000X | Case Management | I-06926 (New Mexico) | Primary |
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