Organization
MLS SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA CONNER REED (OWNER)
(970) 314-2993
Entity
Organization
Contact information
Practice address
1000 N 9TH ST UNIT 9, GRAND JUNCTION, CO 81501-3107
(970) 314-2993
Mailing address
1000 N 9TH ST UNIT 9, GRAND JUNCTION, CO 81501-3107
(970) 314-2993
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311Z00000X
Custodial Care Facility
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
04H516
CO
385H00000X
Respite Care
04H516
CO
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922548148
—
CO
05
—
9000143630
—
CO
Enumeration date
03/07/2017
Last updated
02/15/2022
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