Organization
A PHYSICIANS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GUSTAFSON (OFFICE ADMISTRATOR)
(719) 434-2585
Entity
Organization
Contact information
Practice address
905 GARDEN OF THE GODS RD STE F, COLORADO SPRINGS, CO 80907-3441
(719) 434-2585
Mailing address
905 GARDEN OF THE GODS RD STE F, COLORADO SPRINGS, CO 80907-3441
(719) 434-2585
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
04Y454
CO
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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