Organization
PUEBLO GOODWILL INDUSTRIES HOME CARE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI ARAGON (DIRECTOR)
(719) 543-5718
Entity
Organization
Contact information
Practice address
247 S SANTA FE AVE, PUEBLO, CO 81003-4220
(719) 543-5718
(719) 543-5723
Mailing address
247 S SANTA FE AVE, PUEBLO, CO 81003-4220
(719) 543-5718
(719) 543-5723
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04138483
—
CO
Enumeration date
10/27/2006
Last updated
08/22/2020
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