Organization
CLINTON HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAN WANG (OWNER/MANAGER)
(303) 872-3499
Entity
Organization
Contact information
Practice address
10640 E BETHANY DR STE 201, AURORA, CO 80014
(303) 872-3499
(303) 872-3661
Mailing address
10640 E BETHANY DR STE 201, AURORA, CO 80014-2640
(303) 872-3499
(303) 872-3661
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
04B302
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6460463
—
CO
Enumeration date
10/05/2016
Last updated
06/19/2018
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