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Organization

LIGHT OF THE WORLD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSITA FLORES (DIRECTOR)
(970) 370-2342
Entity
Organization

Contact information

Practice address
906 MAIN ST, FORT MORGAN, CO 80701-2032
(970) 370-2342
(970) 370-2439
Mailing address
PO BOX 481, FORT MORGAN, CO 80701-0481
(970) 370-2342
(970) 370-2439

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04I155
CO
253Z00000X
In Home Supportive Care Agency
04I155
CO
385H00000X
Respite Care
04I155
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54837855
CO
Enumeration date
04/15/2016
Last updated
10/20/2016
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