Organization
OHANA FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SALEM (PRESIDENT)
(970) 999-2350
Entity
Organization
Contact information
Practice address
12817 APPALOOSA AVE, WELLINGTON, CO 80549-1946
(970) 999-2350
Mailing address
12817 APPALOOSA AVE, WELLINGTON, CO 80549-1946
(970) 999-2350
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/01/2017
Last updated
11/27/2019
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