Organization
INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC.
Active
Other names
Interim Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA RINGLING RN (CCO)
(719) 632-9900
Entity
Organization
Contact information
Practice address
720 N MAIN ST, SUITE 400, PUEBLO, CO 81003-3020
(719) 545-1184
(719) 545-1746
Mailing address
720 N MAIN ST, SUITE 400, PUEBLO, CO 81003-3020
(719) 545-1184
(719) 545-1746
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
040680
CO
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040680
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
CO
05
—
42137063
—
CO
Enumeration date
03/02/2006
Last updated
04/18/2019
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