Organization
AGELESS ESSENTIALS LLC
Active
Other names
Ageless Essentials LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY KAY WOOD RN (OWNER)
(970) 630-2455
Entity
Organization
Contact information
Practice address
31911 COUNTY ROAD EE, WRAY, CO 80758
(970) 630-2455
Mailing address
31911 COUNTY ROAD EE, WRAY, CO 80758
(970) 630-2455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20181386166
PRIVATE DUTY HOME CARE
CO
Enumeration date
05/30/2023
Last updated
05/30/2023
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