Organization
FAMILY VISITOR PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAUNDRA SWANSON RN (EXECUTIVE DIRECTOR)
(970) 945-1234
Entity
Organization
Contact information
Practice address
401 23RD ST, SUITE 204, GLENWOOD SPRINGS, CO 81601-4363
(970) 945-1234
(970) 928-8328
Mailing address
401 23RD ST, SUITE 204, GLENWOOD SPRINGS, CO 81601-4363
(970) 945-1234
(970) 928-8328
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54522536
—
CO
Enumeration date
07/13/2007
Last updated
07/13/2007
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