Individual
TABITHA BENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 S DELAWARE ST, ENGLEWOOD, CO 80110-6753
(770) 990-4572
Mailing address
5200 S DELAWARE ST, ENGLEWOOD, CO 80110-6753
(770) 990-4572
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/27/2017
Last updated
02/23/2021
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