Organization
MOUNTAIN LANE HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LECIA WALKER BA, MBA, CNA (OWNER)
(720) 618-2720
Entity
Organization
Contact information
Practice address
1286 ROSEMARY DR, CASTLE ROCK, CO 80109-3590
(720) 618-2720
Mailing address
1286 ROSEMARY DR, CASTLE ROCK, CO 80109-3590
(720) 618-2720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/17/2018
Last updated
07/31/2019
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