# STILLWATER IHSS LIMITED

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

## Provider details

- **NPI number:** 1205344280
- **Authorized official:** IRINA GAVRILOV (CEO)
- **Authorized official phone:** (720) 298-9080

## Contact information

- **Practice address:** 10660 E BETHANY DR OFC 26, AURORA, CO 80014-2602
- **Practice address phone:** (303) 753-7577
- **Practice address fax:** (719) 466-6172
- **Mailing address:** 10660 E BETHANY DR OFC 26, AURORA, CO 80014-2602
- **Mailing address phone:** (303) 753-7577
- **Mailing address fax:** (719) 466-6172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2018
- **Last updated:** 03/16/2021