Organization
FRONTIER HOME HEALTH, LLC
Active
Parent organization
FRONTIER HOME HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRONTIER HOME HEALTH, LLC
Authorized official
LARRY D RUSSELL (CEO)
(719) 544-5891
Entity
Organization
Contact information
Practice address
4718 N ELIZABETH ST STE A, PUEBLO, CO 81008-2080
(719) 544-5891
Mailing address
4718 N ELIZABETH ST STE A, PUEBLO, CO 81008-2080
(719) 544-5891
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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