Theodore Allen Ware | Las Vegas, NV • PECOS Search

Theodore Allen Ware

Community/Behavioral Health

Agencies

1750 Santa Margarita St, 115, Las Vegas, NV 89146-0887

PECOS Enrollment

Based on the most recent information from CMS, provider Theodore Allen Ware does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 38 days ago.

Profile Details

Provider ID
1902149925
Provider Type
Individual
Full Name
Ware, Theodore Allen
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/27/2013
Last Updated
3/27/2013

Contact Information

Practice Location

1750 Santa Margarita St, 115, Las Vegas, NV 89146-0887

Unlisted Fax

Mailing Location

1750 Santa Margarita St, 115, Las Vegas, NV 89146-0887

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer