# PS NUTRITION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063645240
- **Authorized official:** PHILIP T SKAFF MSRD (OWNER)
- **Authorized official phone:** (303) 910-8997

## Contact information

- **Practice address:** 2457 NEWTON ST, DENVER, CO 80211-4443
- **Practice address phone:** (303) 910-8997
- **Mailing address:** 2457 NEWTON ST, DENVER, CO 80211-4443
- **Mailing address phone:** (303) 910-8997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 1035109 | IL | Yes |

## Other

- **Enumeration date:** 09/03/2009
- **Last updated:** 09/03/2009