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Organization
STATEWIDE HEALTHCARE LLC
Active
Organization
STATEWIDE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANELECHI IHEOMAMERE (ADMINISTRATOR)
(719) 434-1513
Entity
Organization
Contact information
Practice address
2130 S. ACADEMY BLVD., #103, COLORADO SPRINGS, CO 80916
(719) 434-1513
Mailing address
2130 S. ACADEMY BLVD, #103, COLORADO SPRINGS, CO 80916
(719) 434-1513
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
041455
CO
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/31/2016
Last updated
01/25/2018
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