Organization
IBEX, LLC
Active
Other names
Right at Home
Organization subpart
No
Provider details
NPI number
Authorized official
PETER VANDERBROUK (OWNER)
(719) 634-4999
Entity
Organization
Contact information
Practice address
1902 E BOULDER ST, COLORADO SPRINGS, CO 80909-5839
(719) 634-4999
Mailing address
1902 E BOULDER ST, COLORADO SPRINGS, CO 80909-5839
(719) 634-4999
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04J542
CO
253Z00000X
In Home Supportive Care Agency
04J542
CO
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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