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Organization

LIFECARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA VALDEZ (OWNER/ADMINISTRATOR)
(970) 516-1234
Entity
Organization

Contact information

Practice address
631 E MAIN ST UNIT B, CORTEZ, CO 81321-3320
(970) 516-1234
(970) 516-1468
Mailing address
631 E MAIN ST UNIT B, CORTEZ, CO 81321-3320
(970) 516-1234
(970) 516-1468

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04E900
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04138707
CO
01
598624-00-0-001
UITR
CO
Enumeration date
01/23/2018
Last updated
07/16/2019
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