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Organization
SPIRIT HOMECARE LLC
Active
Organization
SPIRIT HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE TEAGUE (PRESIDENT)
(319) 594-4363
Entity
Organization
Contact information
Practice address
2601 S LEMAY AVE, SUITE 41, FORT COLLINS, CO 80525-2295
(970) 266-1395
(970) 223-2933
Mailing address
13375 UNIVERSITY AVE, SUITE 200, CLIVE, IA 50325-8261
(515) 221-9155
(515) 221-9157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04H957
CO
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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