| Another Way Llc | |
|
780 W Olive Ave Ste 105 Merced CA 95348-2437 | |
| (209) 354-4430 | |
| (209) 354-4824 |
| Full Name | Another Way Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 780 W Olive Ave Ste 105, Merced, California |
| Authorized Official Name and Position | Patricia Mendonca (VICE PRESIDENT) |
| Authorized Official Contact | 2093544430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Another Way Llc 780 W Olive Ave Ste 105 Merced CA 95348-2437 Ph: (209) 354-4430 | Another Way Llc 780 W Olive Ave Ste 105 Merced CA 95348-2437 Ph: (209) 354-4430 |
| NPI Number | 1083370423 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 3678008943 |
|---|---|
| Medicare Enrollment ID | O20241122002564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083370423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Diane A Jenkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215613070 PECOS PAC ID: 1759816515 Enrollment ID: I20241203001837 |
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