Organization
ANTONINA HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULIA SUSINA (ADMINISTRATOR)
(720) 500-2075
Entity
Organization
Contact information
Practice address
6970 S HOLLY CIR STE 200, CENTENNIAL, CO 80112-1066
(720) 276-1705
Mailing address
6970 S HOLLY CIR STE 200, CENTENNIAL, CO 80112-1066
(720) 276-1705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04K566
CO
253Z00000X
In Home Supportive Care Agency
04D715
CO
Other
Enumeration date
02/05/2015
Last updated
08/28/2023
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