Organization
INTERIM HEALTHCARE OF GREATER DENVER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MARTIN (ADMINISTRATOR)
(303) 789-4686
Entity
Organization
Contact information
Practice address
333 W HAMPDEN AVE STE 925, ENGLEWOOD, CO 80110-2477
(303) 789-4686
(303) 789-1644
Mailing address
333 W HAMPDEN AVE STE 925, ENGLEWOOD, CO 80110-2477
(303) 789-4686
(303) 789-1644
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04T695
STATE OF COLORADO HOME CARE AGENCY MEDICAL CLASS A LICENSE
CO
05
—
85480240
—
CO
Enumeration date
03/02/2006
Last updated
10/07/2011
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