Organization
CENTENNIAL HOME CARE, LLC
Active
Other names
Memorial Regional Health Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE COOPER (DIRECTOR)
(970) 826-2421
Entity
Organization
Contact information
Practice address
600 RUSSELL ST, CRAIG, CO 81625-2018
(970) 824-6882
(970) 824-2157
Mailing address
600 RUSSELL ST, CRAIG, CO 81625-2018
(970) 824-6882
(970) 824-2157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06D1019559
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79873341
—
CO
Enumeration date
02/08/2007
Last updated
07/19/2021
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