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Organization
CHARTER HEALTHCARE OF NORTHERN COLORADO, LLC
Active
Organization
CHARTER HEALTHCARE OF NORTHERN COLORADO, LLC
Active
Other names
Phoenix Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIE BOAL (COMPLIANCE)
(909) 644-4965
Entity
Organization
Contact information
Practice address
1562 TAURUS CT, LOVELAND, CO 80537-3280
(970) 667-2273
(888) 891-0585
Mailing address
1562 TAURUS CT, LOVELAND, CO 80537-3280
(970) 667-2273
(888) 891-0585
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
04Z780
CO
Other
Enumeration date
03/16/2018
Last updated
04/28/2022
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