Healthcare Provider Details

I. General information

NPI: 1255458600
Provider Name (Legal Business Name): PARTNERS IN CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 S PARKER RD UNIT 3-336
AURORA CO
80014-1613
US

IV. Provider business mailing address

2600 S PARKER RD UNIT 3-336
AURORA CO
80014-1613
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-0245
  • Fax: 303-767-0279
Mailing address:
  • Phone: 303-750-0245
  • Fax: 303-767-0279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number162875CO
License Number StateCO

VIII. Authorized Official

Name: MS. MYRA L PAULEY
Title or Position: CEO-PRESIDENT
Credential: APRN, BC
Phone: 303-750-0245