Individual
THERESA A MERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SNF
Contact information
Practice address
2670 S ABILENE ST, AURORA, CO 80014-2336
(303) 695-8100
Mailing address
1 VILLAGE DR STE 400, ABILENE, TX 79606-8232
(325) 691-5519
(325) 698-4582
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
NH6609
OK
311Z00000X
Custodial Care Facility
NH6603-6603
OK
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184059982
—
OK
05
—
1457786303
—
OK
05
—
1578832226
—
CO
Enumeration date
07/03/2017
Last updated
03/17/2018
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