| Elders Rising Llc | |
|
6314 Corinth Rd Longmont CO 80503-9029 | |
| (720) 394-1628 | |
| Not Available |
| Full Name | Elders Rising Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6314 Corinth Rd, Longmont, Colorado |
| Authorized Official Name and Position | Rebecca Lynn Paskind (OWNER/OPERATOR) |
| Authorized Official Contact | 7203941628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elders Rising Llc 6314 Corinth Rd Longmont CO 80503-9029 Ph: (720) 394-1628 | Elders Rising Llc 6314 Corinth Rd Longmont CO 80503-9029 Ph: (720) 394-1628 |
| NPI Number | 1528447513 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Medicare PECOS PAC ID | 0840502571 |
|---|---|
| Medicare Enrollment ID | O20150708002545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528447513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW00991504 (Colorado) | Primary |
| Provider Name | Rebecca Lynn Paskind |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477948164 PECOS PAC ID: 1759693484 Enrollment ID: I20150708002759 |
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