Organization
ALPINE PT HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W PHILIPP JR. (OWNER)
(303) 772-2387
Entity
Organization
Contact information
Practice address
1310 BAKER STREET, LONGMONT, CO 80501-3452
(303) 772-2387
Mailing address
1310 BAKER STREET, LONGMONT, CO 80501-3452
(303) 772-2387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
225100000X
Physical Therapist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/18/2021
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