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Organization
INTERIM HEALTHCARE OF FORT COLLINS, INC.
Active
Organization
INTERIM HEALTHCARE OF FORT COLLINS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGY BLOMBERG (ADMINISTRATOR)
(970) 472-4180
Entity
Organization
Contact information
Practice address
2000 VERMONT DR, SUITE 100, FORT COLLINS, CO 80525-2900
(970) 472-4180
(970) 472-4183
Mailing address
2000 VERMONT DR, SUITE 100, FORT COLLINS, CO 80525-2900
(970) 472-4180
(970) 472-4183
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
1003YH
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403FH
STATE LICENSE CLASS A MEDICAL
CO
05
—
05701297
—
CO
01
—
1003YH
STATE LICENSE CLASS B NON-MEDICAL
CO
Enumeration date
03/02/2006
Last updated
02/23/2016
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