Organization
STILLWATER IHSS LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA GAVRILOV (CEO)
(720) 298-9080
Entity
Organization
Contact information
Practice address
10660 E BETHANY DR OFC 26, AURORA, CO 80014-2602
(303) 753-7577
(719) 466-6172
Mailing address
10660 E BETHANY DR OFC 26, AURORA, CO 80014-2602
(303) 753-7577
(719) 466-6172
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
03/16/2021
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