Organization
PARADISE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS SMORODA (MANAGER)
(720) 220-1377
Entity
Organization
Contact information
Practice address
10691 E BETHANY DR, DENVER, CO 80014-2643
(720) 220-1377
Mailing address
10691 E BETHANY DR, DENVER, CO 80014-2643
(720) 220-1377
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10D453
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38776561
—
CO
Enumeration date
05/18/2009
Last updated
05/18/2009
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