Organization
KIWICARE NON MEDICAL HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUI SUSAN TAASE (OWNER/OPERATOR)
(832) 284-3908
Entity
Organization
Contact information
Practice address
390 INTERLOCKEN BOULEVARD SUITE 350, BROOMFIELD, CO 80021
(832) 284-3908
Mailing address
5100 RONALD REAGAN BLVD APT E303, JOHNSTOWN, CO 80534-6482
(832) 284-3908
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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