Organization
HEART AND SOUL HOST HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CUNNINGHAM (CEO)
(720) 984-9960
Entity
Organization
Contact information
Practice address
3692 E LAKE CT, CENTENNIAL, CO 80121-3028
(720) 984-9960
Mailing address
PO BOX 3703, LITTLETON, CO 80161-3703
(720) 984-9960
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
CO
343900000X
Non-emergency Medical Transport (VAN)
—
CO
376J00000X
Homemaker
—
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
CO
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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