Organization
COLORADO FAMILY QUALITY HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMA KOOMSON ADMINISTRATOR (RN)
(303) 632-7225
Entity
Organization
Contact information
Practice address
1450 S HAVANA ST STE 410, AURORA, CO 80012-4025
(303) 632-7225
(303) 353-9884
Mailing address
1450 S HAVANA ST STE 410, AURORA, CO 80012-4025
(303) 632-7225
(303) 353-9884
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37503855
—
CO
Enumeration date
02/08/2022
Last updated
11/02/2023
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