Healthcare Provider Details

I. General information

NPI: 1033357520
Provider Name (Legal Business Name): ABC CARE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9071 E MISSISSIPPI AVE APT 10A
DENVER CO
80247-2016
US

IV. Provider business mailing address

9071 E MISSISSIPPI AVE APT 10A
DENVER CO
80247-2016
US

V. Phone/Fax

Practice location:
  • Phone: 303-548-4310
  • Fax:
Mailing address:
  • Phone: 303-548-4310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE BHASIN
Title or Position: CO-FOUNDER
Credential:
Phone: 303-548-4310