Organization
FOUR STAR HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERGINIA DAVTYAN (OWNER)
(720) 404-6370
Entity
Organization
Contact information
Practice address
6795 E TENNESSEE AVE STE 429, DENVER, CO 80224-1709
(720) 404-6370
Mailing address
6795 E TENNESSEE AVE STE 429, DENVER, CO 80224-1709
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59971282
—
CO
Enumeration date
06/27/2016
Last updated
06/27/2016
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