# SAND AND SAGE PERSONAL CARE AGENCY

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

## Provider details

- **NPI number:** 1740650431
- **Authorized official:** JACQUELINE RAE HINER (OWNER/MANAGER)
- **Authorized official phone:** (719) 688-9666

## Contact information

- **Practice address:** 121 W BEECH ST, LAMAR, CO 81052-2731
- **Practice address phone:** (719) 688-9666
- **Practice address fax:** (719) 691-2132
- **Mailing address:** 117 WEST ELM STREET, LAMAR, CO 81052
- **Mailing address phone:** (719) 688-9666
- **Mailing address fax:** (719) 691-2132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 04S685 | CO | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 11/05/2021