Organization
PASCO/SW INC
Active
Other names
PASCO/SW Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVETTE TANNER (CEO)
(970) 565-6833
Entity
Organization
Contact information
Practice address
45 S WASHINGTON ST, CORTEZ, CO 81321-3737
(970) 565-6833
(970) 564-8057
Mailing address
45 S WASHINGTON ST, CORTEZ, CO 81321-3737
(970) 565-6833
(970) 564-8057
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06259588
—
CO
05
—
09559787
—
CO
Enumeration date
05/11/2006
Last updated
01/19/2021
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