Organization
ICARE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAHRREN BOLASTIG (OWNER)
(720) 499-2956
Entity
Organization
Contact information
Practice address
2851 S PARKER RD # 3428, AURORA, CO 80014-2736
(303) 993-6393
Mailing address
2851 S PARKER RD # 3428, AURORA, CO 80014-2736
(303) 993-6393
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
09/15/2023
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