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Organization
VIDACARE LLC
Active
Organization
VIDACARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISSE COUSIN (OWNER)
(303) 521-0617
Entity
Organization
Contact information
Practice address
11990 GRANT ST STE 550, NORTHGLENN, CO 80233-1101
(303) 521-0617
Mailing address
11990 GRANT ST STE 550, NORTHGLENN, CO 80233-1101
(303) 521-0617
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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