Organization
RIVERSIDE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP BILLINGSLEY (OWNER)
(254) 212-9186
Entity
Organization
Contact information
Practice address
1531 RIVERSIDE AVE UNIT B, FORT COLLINS, CO 80524-4389
(254) 212-9186
Mailing address
1531 RIVERSIDE AVE UNIT B, FORT COLLINS, CO 80524-4389
(254) 212-9186
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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