Organization
IMMACULATE CARE OPTIMAL NURSING HOME & HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALMA HISSONG (CEO)
(720) 480-5086
Entity
Organization
Contact information
Practice address
2821 S. PARKER RD., SUITE 177, AURORA, CO 80014
(720) 480-5086
(720) 535-7221
Mailing address
2821 S. PARKER RD, SUITE 177, AURORA, CO 80014
(720) 480-5086
(720) 535-7221
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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