Individual ProviderDenise LerougeCase Manager/Care CoordinatorOther Service ProvidersPractice Address203 California St NE, Albuquerque, NM 87108-1802(505) 308-8296(505) 217-1717PECOS EnrollmentBased on the most recent information from CMS, provider Denise Lerouge does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679196489Provider TypeIndividualFull NameLerouge, DeniseCredentialCPSWGenderFemaleSole ProprietorNoEnumeration Date5/27/2020Last Updated10/19/2021Contact InformationPractice LocationPractice Address203 California St NE, Albuquerque, NM 87108-1802Phone(505) 308-8296FaxUnlisted FaxMailing LocationMailing Address9201 Montgomery Blvd NE Bldg 5, Albuquerque, NM 87111-2468Phone(505) 217-1717FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerNew MexicoCode175T00000XDescriptionPeer SpecialistOther Service ProvidersLicense1003New Mexico