Organization
ROARING FORK HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY DUPPER (CFO)
(970) 945-6535
Entity
Organization
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 384-7530
(970) 947-0149
Mailing address
PO BOX 1970, GLENWOOD SPRINGS, CO 81602-1970
(970) 384-7530
(970) 947-0149
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05800370
—
CO
Enumeration date
12/18/2006
Last updated
07/21/2022
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