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Organization
ARCHER MEDICAL
Active
Organization
ARCHER MEDICAL
Active
Other names
Archer Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J RUZICKA (ADMINISTRATOR)
(719) 637-0000
Entity
Organization
Contact information
Practice address
4925 N UNION BLVD, COLORADO SPRINGS, CO 80918-4070
(719) 637-0000
Mailing address
4925 N UNION BLVD, COLORADO SPRINGS, CO 80918-4070
(719) 637-0000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04L104
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04L104
HOME CARE AGENCY CLASS A MEDICAL LIC
CO
Enumeration date
02/22/2010
Last updated
05/24/2010
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