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Organization
COLUMBINE POUDRE HOME CARE, LLC
Active
Organization
COLUMBINE POUDRE HOME CARE, LLC
Active
Parent organization
COLUMBINE POUDRE HOME CARE, LLC
Other names
Bloom at Home, Columbine Poudre Home Care, LLC Bloom at Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBINE POUDRE HOME CARE, LLC
Authorized official
BARRY K FANCHER (CFO)
(970) 482-0198
Entity
Organization
Contact information
Practice address
915 CENTRE AVE STE 2, FORT COLLINS, CO 80526-6046
(970) 482-5096
(970) 224-2518
Mailing address
802 W DRAKE RD STE 101, FORT COLLINS, CO 80526-5567
(970) 482-0198
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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