OrganizationActive
At Home Geriatric Counseling and Consultation
NPI 1891044517 · Case Management Agency · Edgewood, NM
Provider details
- NPI number
- 1891044517
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Roxroy Reid, Owner(505) 710-4278
- License
- I-06926 (NM)
Specialties & taxonomies
Agencies
Behavioral Health & Social Service Providers
Practice location
25 Camino Collado
Edgewood, NM 87015-9788
Phone: (505) 710-4278
Fax: (505) 407-4848
Approximate (ZIP-level) locationGet directions
Mailing address
25 Camino Collado
Edgewood, NM 87015-9788
Registry dates
- Enumerated
- 2012-09-10
- Last updated
- 2012-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.