Organization
DUST AND PAN
Active
Other names
Dust and Pan Extra Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVONNE NOEL AUSTIN MPA, JD (OWNER)
(720) 925-1822
Entity
Organization
Contact information
Practice address
1600 BROADWAY STE 1601, DENVER, CO 80202-4927
(720) 925-1822
Mailing address
1600 BROADWAY STE 1601, DENVER, CO 80202-4927
(720) 925-1822
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006
—
CO
Enumeration date
08/22/2022
Last updated
08/22/2022
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