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Organization

EMPOWERED CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRACHELL HARRIS MBA (CEO)
(719) 465-3905
Entity
Organization

Contact information

Practice address
2020 N ACADEMY BLVD, SUITE 376, COLORADO SPRINGS, CO 80909
(719) 465-3905
(719) 465-1254
Mailing address
2020 N ACADEMY BLVD, SUITE 376, COLORADO SPRINGS, CO 80909
(719) 465-3905
(719) 465-1254

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
373H00000X
Day Training/Habilitation Specialist
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28855035
CO
Enumeration date
06/09/2016
Last updated
07/29/2022
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