Organization
WELLCARE OPTIONS, LLC
Active
Other names
Wellcare Options
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DAVID BOLDT (DIRECTOR)
(575) 639-1649
Entity
Organization
Contact information
Practice address
1740 W PICACHO AVE, LAS CRUCES, NM 88005-2337
(575) 525-9083
(575) 647-1471
Mailing address
1740 W PICACHO AVE, LAS CRUCES, NM 88005-2337
(575) 525-9083
(575) 647-1471
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1T3349
NM
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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