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Organization
ALTACARE LLC
Active
Organization
ALTACARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENOON SOULONG (EXECUTIVE DIRECTOR)
(970) 795-2838
Entity
Organization
Contact information
Practice address
4348 WINTERSTONE DR, FORT COLLINS, CO 80525-5656
(970) 795-2838
Mailing address
301 BOARDWALK DR UNIT 270124, FORT COLLINS, CO 80527-4004
(970) 795-2838
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/13/2023
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