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Organization

ALLIANCE FOR HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LARISA LIVITZ (ADMINISTRATOR)
(720) 339-0596
Entity
Organization

Contact information

Practice address
9375 E EVANS WAY, DENVER, CO 80231-3441
(720) 339-0596
(720) 748-0219
Mailing address
9375 E EVANS WAY, DENVER, CO 80231-3441
(720) 339-0596
(720) 748-0219

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44874863
MEDICAID PROVIDER NUMBER
CO
05
44874863
CO
Enumeration date
12/05/2016
Last updated
12/05/2016
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