Organization
TARA CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA GAYNOR (OWNER)
(719) 342-9458
Entity
Organization
Contact information
Practice address
406 DEPEE ST, KIT CARSON, CO 80825-5029
(719) 962-3203
Mailing address
PO BOX 132, KIT CARSON, CO 80825-0132
(719) 962-3203
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25409247
—
CO
Enumeration date
09/15/2021
Last updated
09/15/2021
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