Organization
MQ LONG TERM CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA PHAN (MANAGER)
(720) 933-5099
Entity
Organization
Contact information
Practice address
1700 WADSWORTH BLVD, LAKEWOOD, CO 80214-5256
(303) 238-1488
(303) 238-1459
Mailing address
1700 WADSWORTH BLVD, LAKEWOOD, CO 80214-5256
(303) 238-1488
(303) 238-1459
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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