Organization
WELLCARE INC OF ROSWELL
Active
Other names
WellCare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL K ANTHONY (CEO)
(214) 239-6500
Entity
Organization
Contact information
Practice address
313 W 2ND ST, ROSWELL, NM 88201-4609
(505) 622-9355
(505) 622-9370
Mailing address
6688 N CENTRAL EXPY, SUITE 1300, DALLAS, TX 75206-3914
(214) 239-6500
(915) 845-5772
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3150
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3249
STATE LICENSE
NM
05
—
94701369
—
NM
Enumeration date
09/26/2006
Last updated
08/22/2020
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