Organization
HOMECARE OF THE ROCKIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL NYGREN (SENIOR CARE MANAGER)
(720) 204-6083
Entity
Organization
Contact information
Practice address
7105 LA VISTA PL, LONGMONT, CO 80503-0802
(720) 204-6083
Mailing address
7105 LA VISTA PL, LONGMONT, CO 80503-0802
(720) 204-6083
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R30628.44053
—
FL
Enumeration date
07/19/2019
Last updated
07/19/2019
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