| Senior Care Options, Inc. | |
|
2700 Vista Grande Dr Nw Unit 10 Albuquerque NM 87120-1040 | |
| (505) 836-5794 | |
| (505) 836-2254 |
| Full Name | Senior Care Options, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2700 Vista Grande Dr Nw Unit 10, Albuquerque, New Mexico |
| Authorized Official Name and Position | Sharon Jean Miles (OWNER, PRESIDENT) |
| Authorized Official Contact | 5058365794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Options, Inc. 2700 Vista Grande Dr Nw Unit 10 Albuquerque NM 87120-1040 Ph: (505) 836-5794 | Senior Care Options, Inc. 2700 Vista Grande Dr Nw Unit 10 Albuquerque NM 87120-1040 Ph: (505) 836-5794 |
| NPI Number | 1154621043 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 10/26/2010 |
| Medicare PECOS PAC ID | 1850511569 |
|---|---|
| Medicare Enrollment ID | O20141001000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154621043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | M-2217 (New Mexico) | Primary |
| Provider Name | Sharon Jean Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548562770 PECOS PAC ID: 2769602473 Enrollment ID: I20141001000613 |
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