Organization
KODIAK CORPORATION
Active
Other names
ComForCare In Home Care - Southern Weld and Boulder Counties
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES W. NEW JR. (OWNER/PRESIDENT)
(303) 915-9848
Entity
Organization
Contact information
Practice address
451 OAK ST STE 207, FREDERICK, CO 80530-7015
(720) 738-0044
(720) 738-0045
Mailing address
PO BOX 932, FREDERICK, CO 80530-0932
(303) 915-9848
(720) 738-0045
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
06/13/2023
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