Organization
COLORADO SPRINGS INDEPENDENCE CENTER
Active
Other names
The Independence Center
Organization subpart
No
Provider details
NPI number
Authorized official
INDY FRAZEE (CHIEF EXECUTIVE OFFICER)
(719) 471-8181
Entity
Organization
Contact information
Practice address
729 S TEJON ST, COLORADO SPRINGS, CO 80903-4041
(719) 471-8181
(719) 471-7829
Mailing address
729 S TEJON ST, COLORADO SPRINGS, CO 80903-4041
(719) 471-8181
(719) 471-7829
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9807849
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05700067
—
CO
05
—
87600561
—
CO
Enumeration date
01/12/2017
Last updated
12/22/2022
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