Organization
BACA COUNTY DEPARTMENT OF SOCIAL SERVICES
Active
Other names
Baca County Personal Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH M PORTER (DIRECTOR)
(719) 523-4131
Entity
Organization
Contact information
Practice address
772 COLORADO ST, SUITE 1, SPRINGFIELD, CO 81073-1456
(719) 523-4131
(719) 523-4820
Mailing address
772 COLORADO ST, SUITE 1, SPRINGFIELD, CO 81073-1456
(719) 523-4131
(719) 523-4820
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
04138657
CO
372600000X
Adult Companion
04138657
CO
3747P1801X
Personal Care Attendant
04138657
CO
376J00000X
Homemaker
Primary
04138657
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04138657
—
CO
Enumeration date
12/07/2016
Last updated
12/07/2016
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