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Organization
COLORADO SPRINGS INDEPENDENCE CENTER
Active
Organization
COLORADO SPRINGS INDEPENDENCE CENTER
Active
Other names
The Independence Center
Organization subpart
No
Provider details
NPI number
Authorized official
INDY FRAZEE (CHIEF EXECUTIVE OFFICER)
(719) 471-8181
Entity
Organization
Contact information
Practice address
729 S TEJON ST, COLORADO SPRINGS, CO 80903-4041
(719) 471-8181
(719) 471-7829
Mailing address
729 S TEJON ST, COLORADO SPRINGS, CO 80903-4041
(719) 471-8181
(719) 471-7829
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9807849
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05700067
—
CO
05
—
87600561
—
CO
Enumeration date
01/12/2017
Last updated
12/22/2022
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