Organization
DKL VENTURES, LLC
Active
Other names
Select Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GODFREY (ADMINISTRATOR)
(303) 757-2300
Entity
Organization
Contact information
Practice address
6143 S WILLOW DR STE 102, GREENWOOD VILLAGE, CO 80111-5122
(303) 757-2300
(303) 756-3263
Mailing address
6143 S WILLOW DR STE 102, GREENWOOD VILLAGE, CO 80111-5122
(303) 757-2300
(303) 756-3263
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
04Y381
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39579875
—
CO
Enumeration date
10/18/2016
Last updated
10/25/2016
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