Organization
A PHYSICIANS HOME CARE
Active
Parent organization
A PHYSICIANS HOME CARE LLC
Other names
A Physicians Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
A PHYSICIANS HOME CARE LLC
Authorized official
MR. ERIC SAMUEL GUSTAFSON (DIRECTOR OF OPERATIONS)
(719) 434-2585
Entity
Organization
Contact information
Practice address
905 W GARDEN OF THE GODS RD SUITE F, COLORADO SPRINGS, CO 80907
(719) 434-2585
(719) 434-1791
Mailing address
905 W GARDEN OF THE GODS RD SUITE F, COLORADO SPRINGS, CO 80907
(719) 434-2585
(719) 434-1791
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000153168
—
CO
Enumeration date
10/15/2018
Last updated
10/01/2019
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