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Organization

BACA HOME CARE AGENCY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TYLER K GIBSON (OWNER/MANAGER)
(719) 523-3158
Entity
Organization

Contact information

Practice address
681 W 5TH AVE, SPRINGFIELD, CO 81073-1208
(719) 523-3158
Mailing address
681 W 5TH AVE, SPRINGFIELD, CO 81073-1208
(719) 523-3158

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
Primary

Other

Enumeration date
07/30/2018
Last updated
05/29/2019
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