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Organization

R&A HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARTEM MATEVOSYANTS (MANAGING PARTNER)
(303) 960-4732
Entity
Organization

Contact information

Practice address
7255 S HAVANA ST STE 130, CENTENNIAL, CO 80112-3887
(303) 960-4732
(303) 736-2195
Mailing address
7255 S HAVANA ST STE 130, CENTENNIAL, CO 80112-3887
(303) 960-4732
(303) 736-2195

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04R666
CO
253Z00000X
In Home Supportive Care Agency
04R586
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48808016
CO
05
66681871
CO
Enumeration date
02/18/2016
Last updated
10/16/2017
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