Organization
BY YOUR SIDE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNISE JOHNSON (OWNER)
(303) 330-8663
Entity
Organization
Contact information
Practice address
10820 W 38TH PL, WHEAT RIDGE, CO 80033-3910
(303) 330-8663
Mailing address
10820 W 38TH PL, WHEAT RIDGE, CO 80033-3910
(303) 330-8663
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
04N132
CO
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/29/2013
Last updated
05/30/2016
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