Organization
TD HOMECARE AND ATTENDANT SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNETTE HENRY-BARNES RN (OWNER)
(914) 474-8720
Entity
Organization
Contact information
Practice address
3500 ROCKMONT DR APT 1307, DENVER, CO 80202-1073
(914) 474-8720
Mailing address
3500 ROCKMONT DR APT 1307, DENVER, CO 80202-1073
(914) 474-8720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1642751
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
MEDICADE
CO
Enumeration date
11/08/2017
Last updated
09/05/2019
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