Organization
HEALTHONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE TYSSELAND BS, RN (PROGRAM DIRECTOR)
(303) 789-1519
Entity
Organization
Contact information
Practice address
3444 S EMERSON ST, ENGLEWOOD, CO 80113-2834
(303) 789-1519
(303) 789-7642
Mailing address
3444 S EMERSON ST, ENGLEWOOD, CO 80113-2834
(303) 789-1519
(303) 789-7642
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
NOT REQUIRED
CO
Other
Enumeration date
07/27/2006
Last updated
06/19/2008
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