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Organization

DIVINE MERCY SUPPORTIVE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN LUNDY (CEO)
(303) 357-2540
Entity
Organization

Contact information

Practice address
4045 PECOS ST, DENVER, CO 80211-2552
(303) 357-2540
(720) 398-3490
Mailing address
303 S BROADWAY, #220, DENVER, CO 80209-1558
(303) 357-2540

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
17M599
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17M599
STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
CO
Enumeration date
09/03/2013
Last updated
04/29/2016
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