Organization
PREFERRED HOMECARE OF COLORADO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI L JAMISON (GOVERNMENT COMPLIANCE MANAGER)
(480) 446-9010
Entity
Organization
Contact information
Practice address
6900 W JEFFERSON AVE, STE 125, LAKEWOOD, CO 80235-2002
(303) 783-1700
(303) 788-0123
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(480) 446-9010
(480) 993-2033
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19472374
—
CO
05
—
29987814
—
NM
05
—
99984318
—
CO
Enumeration date
06/01/2005
Last updated
03/04/2008
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