Organization
MARYTIMES SERVICES, INC
Active
Other names
Spectrum Home Services of Larimer County, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L HARRIS (OWNER)
(970) 669-2627
Entity
Organization
Contact information
Practice address
3085 KIOWA DR, LOVELAND, CO 80538-8642
(970) 669-2627
(323) 313-0970
Mailing address
3085 KIOWA DR, LOVELAND, CO 80538-8642
(970) 669-2627
(323) 313-0970
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
80488714
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13563
TRADING PARTNER ID
CO
Enumeration date
11/09/2007
Last updated
11/09/2007
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