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Organization
EXTRA MILE SERVICE
Active
Organization
EXTRA MILE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALYNNA FIGUEROA VALDEZ (OWNER/ CAREGIVER)
(970) 778-9492
Entity
Organization
Contact information
Practice address
1132 BLACKRIDGE DR, FRUITA, CO 81521-7406
(970) 778-9492
Mailing address
1132 BLACKRIDGE DR, FRUITA, CO 81521-7406
(970) 778-9492
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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