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Organization
CENTENNIAL HOME CARE, LLC
Active
Organization
CENTENNIAL HOME CARE, LLC
Active
Other names
Memorial Regional Health Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE COOPER (DIRECTOR)
(970) 826-2421
Entity
Organization
Contact information
Practice address
600 RUSSELL ST, CRAIG, CO 81625-2018
(970) 824-6882
(970) 824-2157
Mailing address
600 RUSSELL ST, CRAIG, CO 81625-2018
(970) 824-6882
(970) 824-2157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06D1019559
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79873341
—
CO
Enumeration date
02/08/2007
Last updated
07/19/2021
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