Organization
GLIMMER OF HOPE HOME HEALTH CARE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA LYNN RUSSELL (ADMINISTRATOR)
(719) 331-2610
Entity
Organization
Contact information
Practice address
6842 MESCALERO DR, COLORADO SPRINGS, CO 80915-3110
(719) 331-2610
Mailing address
6842 MESCALERO DR, COLORADO SPRINGS, CO 80915-3110
(719) 331-2610
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04R530
BUSINESS LICENSE
CO
Enumeration date
09/19/2019
Last updated
09/19/2019
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