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Organization
SANGRE DE CRISTO COMMUNITY CARE
Active
Organization
SANGRE DE CRISTO COMMUNITY CARE
Active
Other names
Country Plains Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL SOLOMON (DIRECTOR OF COMPLIANCE)
(719) 542-0032
Entity
Organization
Contact information
Practice address
207 COLORADO AVE STE B, LA JUNTA, CO 81050-1517
(719) 254-3661
(719) 254-4626
Mailing address
1920 VALLEY DR, PUEBLO, CO 81008-1764
(719) 542-0032
(719) 542-1486
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04026U
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04026U
STATE LICENSE
CO
Enumeration date
07/18/2018
Last updated
01/18/2022
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