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Gary Lee Sandoval
PACE Provider Organization in Albuquerque, New Mexico
NPI 1922786763

Gary Lee Sandoval is a PACE Provider Organization based in Albuquerque, NM. Gary Lee Sandoval practices in Albuquerque, NM. The NPI Number for Gary Lee Sandoval is 1922786763 and holds a License No. 5280 (New Mexico).

The current practice location address for Gary Lee Sandoval is 2111 Raven Ln Sw, Albuquerque, NM and can be reached out via phone at 505-573-2721.

Location: 2111 Raven Ln Sw, Albuquerque, NM, 87105-4530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922786763
Provider Name
Gary Lee Sandoval
Credential
Provider Entity Type
Individual
Gender
Male
Address
2111 Raven Ln Sw, Albuquerque, NM, 87105-4530
Phone Number
505-573-2721
Fax Number
Provider Enumeration Date
07/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2111 Raven Ln Sw
City
Albuquerque
State
New Mexico
Zip
87105-4530
Phone Number
505-573-2721
Fax Number
person
Provider Business Mailing Address Details
Address
2111 Raven Ln Sw
City
Albuquerque
State
New Mexico
Zip
87105-4530
Phone Number
505-573-2721
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
5280 (New Mexico)
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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