Individual
ROSITA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 MAIN ST, FORT MORGAN, CO 80701-2032
(970) 370-2342
Mailing address
PO BOX 481, FORT MORGAN, CO 80701-0481
(970) 370-2342
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
54837855
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149876
TRADING PARTNER ID
CO
05
—
54837855
—
CO
Enumeration date
05/11/2015
Last updated
05/11/2015
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