Organization
INDEPENDENCE AT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON KAY MANLEY (OWNER/ADMINISTRATOR)
(303) 421-2648
Entity
Organization
Contact information
Practice address
1340 CARR ST, LAKEWOOD, CO 80214-6100
(303) 421-2648
(303) 233-1977
Mailing address
1340 CARR ST, LAKEWOOD, CO 80214-6100
(303) 421-2648
(303) 233-1977
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14502747
—
CO
Enumeration date
08/29/2006
Last updated
08/22/2020
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