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Organization

ZION SELAH HOME HEALTHCARE AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WENDEMAGEN THEODORE BENNETT (ADMINISTRATOR AND OWNER)
(616) 644-8235
Entity
Organization

Contact information

Practice address
2821 S PARKER RD STE 2-1017, AURORA, CO 80014-2735
(616) 644-8235
Mailing address
2821 S PARKER RD STE 1017, AURORA, CO 80014-2714
(616) 644-8235

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251G00000X
Community Based Hospice Care Agency
251T00000X
PACE Provider Organization
253Z00000X
In Home Supportive Care Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
10/07/2024
Last updated
01/27/2025
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