Organization
VITA HOME HEALTH CARE
Active
Other names
Personal Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MOWLID MOHAMED (ADMIN)
(701) 215-9232
Entity
Organization
Contact information
Practice address
14211 E 4TH AVE # 3-245, AURORA, CO 80011-8736
(701) 215-9232
Mailing address
14211 E 4TH AVE # 3-245, AURORA, CO 80011-8736
(701) 215-9232
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20221583931
—
CO
Enumeration date
10/13/2022
Last updated
10/13/2022
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