# ESSENTIAL EMBODIMENT LLC

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

## Provider details

- **NPI number:** 1245766716
- **Authorized official:** TINS MARIE SWOFFER (OWNER)
- **Authorized official phone:** (970) 778-9663

## Contact information

- **Practice address:** 120 W MAIN ST, SUITE D, CEDAREDGE, CO 81413
- **Practice address phone:** (970) 808-1122
- **Mailing address:** 120 W MAIN ST, SUITE D, CEDAREDGE, CO 81413
- **Mailing address phone:** (970) 808-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | 12181974 | CO | — |
| 253Z00000X | In Home Supportive Care Agency | 4272017 | CO | Yes |

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 05/03/2017