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Individual

SAFA ELKHIDIR ELKHIDIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
5940 S FAIRPLAY ST, CENTENNIAL, CO 80016
(720) 404-0335
Mailing address
5940 S FAIRPLAY ST, CENTENNIAL, CO 80016
(720) 404-0335

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN.0197572
CO
163WH0200X
Home Health Registered Nurse
RN.0197572
CO
251E00000X
Home Health Agency
Primary
04CCWL
CO
253Z00000X
In Home Supportive Care Agency
04CCWL
CO
376J00000X
Homemaker
04CCWL
CO

Other

Enumeration date
12/11/2024
Last updated
03/05/2025
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