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Organization

PS NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP T SKAFF MSRD (OWNER)
(303) 910-8997
Entity
Organization

Contact information

Practice address
2457 NEWTON ST, DENVER, CO 80211-4443
(303) 910-8997
Mailing address
2457 NEWTON ST, DENVER, CO 80211-4443
(303) 910-8997

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1035109
IL

Other

Enumeration date
09/03/2009
Last updated
09/03/2009
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