Provider Demographics
NPI:1831339233
Name:SENIOR'S CHOICE FOOT CARE
Entity type:Organization
Organization Name:SENIOR'S CHOICE FOOT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.N. / FOOT CARE
Authorized Official - Prefix:
Authorized Official - First Name:SHEREE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-347-8848
Mailing Address - Street 1:6360 W CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3401
Mailing Address - Country:US
Mailing Address - Phone:303-347-8848
Mailing Address - Fax:
Practice Address - Street 1:6360 W CENTER AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3401
Practice Address - Country:US
Practice Address - Phone:303-347-8848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO129228251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care