Organization
MCKEE MEDICAL CENTER
Active
Other names
Banner Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
320 N CLEVELAND AVE, LOVELAND, CO 80537-5506
(970) 669-4435
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05017173
—
CO
Enumeration date
06/01/2006
Last updated
12/22/2021
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