Organization
2ND HOME COMMUNITY LONGMONT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANEEN M OMAR MRS (CEO)
(303) 999-7763
Entity
Organization
Contact information
Practice address
650 S AIRPORT RD, LONGMONT, CO 80503-6421
(303) 999-7763
Mailing address
3131 S VAUGHN WAY STE 600, AURORA, CO 80014-3508
(303) 999-7763
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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