Organization
FREMONT REGIONAL HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE L QUINN (ADMINISTRATOR/PRESIDENT)
(719) 275-4315
Entity
Organization
Contact information
Practice address
1439 MAIN ST, CANON CITY, CO 81212-3923
(719) 275-4315
(719) 275-8315
Mailing address
1439 MAIN ST, CANON CITY, CO 81215-0246
(719) 275-4315
(719) 275-8315
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17D459
—
CO
Enumeration date
05/16/2007
Last updated
04/22/2024
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