Organization
SANGRE DE CRISTO COMMUNITY CARE
Active
Other names
Country Plains Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL SOLOMON (DIRECTOR OF COMPLIANCE)
(719) 542-0032
Entity
Organization
Contact information
Practice address
207 COLORADO AVE STE B, LA JUNTA, CO 81050-1517
(719) 254-3661
(719) 254-4626
Mailing address
1920 VALLEY DR, PUEBLO, CO 81008-1764
(719) 542-0032
(719) 542-1486
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04026U
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04026U
STATE LICENSE
CO
Enumeration date
07/18/2018
Last updated
01/18/2022
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