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Organization

INFINITI HOME HEALTH CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALIK OLASUNKANMI KUFORIJI NP (ADMINISTRATOR)
(303) 219-3133
Entity
Organization

Contact information

Practice address
1450 S HAVANA ST STE 200B, AURORA, CO 80012-4021
(303) 219-3133
(720) 628-4593
Mailing address
1450 S HAVANA ST, AURORA, CO 80012-4018
(303) 219-3133
(720) 628-4593

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000145388
CO
Enumeration date
02/04/2022
Last updated
06/20/2022
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