Organization
REAL HOME CARE AGENT
Active
Other names
Home Care Provider
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMOUD HASSAN ALI (OWNER)
(720) 725-7776
Entity
Organization
Contact information
Practice address
1582 S PARKER RD STE 104, DENVER, CO 80231-2715
(720) 725-7776
Mailing address
1232 S WACO ST UNIT C, AURORA, CO 80017-5771
(720) 725-7776
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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