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Organization
ESSENTIAL EMBODIMENT LLC
Active
Organization
ESSENTIAL EMBODIMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINS MARIE SWOFFER (OWNER)
(970) 778-9663
Entity
Organization
Contact information
Practice address
120 W MAIN ST, SUITE D, CEDAREDGE, CO 81413
(970) 808-1122
Mailing address
120 W MAIN ST, SUITE D, CEDAREDGE, CO 81413
(970) 808-1122
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
12181974
CO
253Z00000X
In Home Supportive Care Agency
Primary
4272017
CO
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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