Organization
PIONEER HEALTH CARE GROUP, INC.
Active
Other names
Pioneer Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE LYNN KERN (ADMINISTRATIVE ASSISTANT)
(719) 254-3661
Entity
Organization
Contact information
Practice address
208 N MAIN ST, ROCKY FORD, CO 81067-1252
(719) 254-3661
(719) 254-4626
Mailing address
208 N MAIN ST, ROCKY FORD, CO 81067-1252
(719) 254-3661
(719) 254-4626
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05701750
—
CO
Enumeration date
08/03/2005
Last updated
08/22/2020
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