Organization
SUPER HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED ELIAS OMER (ADMINISTRATION)
(720) 829-9083
Entity
Organization
Contact information
Practice address
1230 S PARKER RD STE 217, DENVER, CO 80231-2119
(303) 728-9154
Mailing address
1230 S PARKER RD STE 17217, DENVER, CO 80231-2118
(303) 728-9154
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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