# MOUNTAIN LANE HOME HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1518433416
- **Authorized official:** LECIA WALKER BA, MBA, CNA (OWNER)
- **Authorized official phone:** (720) 618-2720

## Contact information

- **Practice address:** 1286 ROSEMARY DR, CASTLE ROCK, CO 80109-3590
- **Practice address phone:** (720) 618-2720
- **Mailing address:** 1286 ROSEMARY DR, CASTLE ROCK, CO 80109-3590
- **Mailing address phone:** (720) 618-2720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/17/2018
- **Last updated:** 07/31/2019