Organization
PACIFIC HOME CARE/HCBS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SVETLANA S IZMODENOVA-SHULIK (ADMINISTRATOR)
(720) 519-0208
Entity
Organization
Contact information
Practice address
4155 E JEWELL AVENUE, SUITE 316, DENVER, CO 80222-4504
(720) 519-0208
(720) 519-0230
Mailing address
4155 E JEWELL AVENUE, SUITE 316, DENVER, CO 80222-4504
(720) 519-0208
(720) 519-0230
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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