Organization
KIOWA HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DIXON (CFO)
(719) 438-5401
Entity
Organization
Contact information
Practice address
311 W 12TH ST, EADS, CO 81036
(719) 438-5765
(719) 438-2010
Mailing address
PO BOX 336, EADS, CO 81036
(719) 438-5765
(719) 438-2010
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05738000
—
CO
05
—
33150044
—
CO
Enumeration date
11/28/2006
Last updated
06/11/2018
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