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Organization

ZION SELAH HOME HEALTHCARE AGENCY LLC

Active
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Organization

ZION SELAH HOME HEALTHCARE AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WENDEMAGEN THEODORE BENNETT (ADMINISTRATOR AND OWNER)
(616) 644-8235
Entity
Organization

Contact information

Practice address
2821 S PARKER RD STE 2-1017, AURORA, CO 80014-2735
(616) 644-8235
Mailing address
2821 S PARKER RD STE 1017, AURORA, CO 80014-2714
(616) 644-8235

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—

Other

Enumeration date
10/07/2024
Last updated
01/27/2025
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