Organization
KIND HEART HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISA LEAKE (PRESIDENT)
(719) 622-1708
Entity
Organization
Contact information
Practice address
4925 TURQUOISE CIR, COLORADO SPRINGS, CO 80917-1213
(719) 622-1708
(719) 597-5170
Mailing address
4925 TURQUOISE CIR, COLORADO SPRINGS, CO 80917
(719) 622-1708
(719) 597-5170
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
04K999
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64403572
—
CO
Enumeration date
10/18/2012
Last updated
10/18/2012
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