Organization
PREFERRED HOMECARE OF COLOARDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI LYNN JAMISON (GOVT COMPLIANCE MANAGER)
(480) 446-9010
Entity
Organization
Contact information
Practice address
689 COUNTY ROAD 233, STE. A, DURANGO, CO 81301-6561
(970) 259-3975
(970) 259-3965
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(480) 446-9010
(480) 993-2033
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25570030
—
CO
Enumeration date
06/09/2006
Last updated
11/29/2012
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