Organization
AIMIGO HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOSEPH AVILA (PRESIDENT)
(719) 924-9458
Entity
Organization
Contact information
Practice address
1208 EAGLERIDGE BLVD STE D, PUEBLO, CO 81008-2329
(719) 924-9458
Mailing address
1208 EAGLERIDGE BLVD STE D, PUEBLO, CO 81008-2329
(719) 924-9458
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000175243
—
CO
Enumeration date
04/24/2024
Last updated
04/24/2024
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