MEDICARE: PAMMY CARES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1669603015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAMMY CARES

Provider Business Mailing Address
First Line	:	541 W 78TH PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-4005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	541 W 78TH PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-4005
Country	:	US
Telephone Number	:	303-261-6617
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MIRANDA VARNEY
Credential	:
Telephone Number	:	303-261-6617

Provider Enumeration Date	:	08/03/2009
Last Update Date	:	08/03/2009

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Directions to “PAMMY CARES ” Practice Location

Language	Start Address	Practice Location

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