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Contact Information

AT HOME GERIATRIC COUNSELING AND CONSULTATION
25 CAMINO COLLADO
EDGEWOOD, NM87015-9788
 Phone: 505-710-4278
 Fax: 505-407-4848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for AT HOME GERIATRIC COUNSELING AND CONSULTATION

NPI Number 1891044517
LBN Legal business name AT HOME GERIATRIC COUNSELING AND CONSULTATION
Authorized official ROXROY REID - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/10/2012
Last updated 09/10/2012 - About 14 years ago
Identifiers
NM License # I-06926
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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