Organization
5280 ELEVATED HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH A CALIX RN, BSN (REGISTERED NURSE/OWNER)
(303) 717-8037
Entity
Organization
Contact information
Practice address
3108 W HAMPDEN AVE STE G, ENGLEWOOD, CO 80110-3273
(303) 717-8037
Mailing address
3108 W HAMPDEN AVE STE G, ENGLEWOOD, CO 80110-3273
(303) 717-8037
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000178955
—
CO
Enumeration date
05/26/2021
Last updated
05/26/2021
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