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Organization
FULL SPECTRUM HOME CARE SERVICES
Active
Organization
FULL SPECTRUM HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA WRIGHT (PRESIDENT)
(719) 291-8241
Entity
Organization
Contact information
Practice address
3116 VAIL PASS DR, COLORADO SPRINGS, CO 80917-4301
(719) 291-8241
Mailing address
3116 VAIL PASS DR, COLORADO SPRINGS, CO 80917-4301
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1
KAISER-PERMANENTE
CO
01
—
A1
AFLAC
—
05
—
A1
—
CO
01
—
A4
TRICARE
CO
01
—
A4
HUMANA
—
05
—
A4
—
CO
Enumeration date
11/19/2015
Last updated
11/21/2015
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