Organization · NPI-2

2nd Home 4 Kids LLC

Home Health · Aurora, CO

NPI number1073101119
StatusActive
Last updated in NPPESJan 5, 2021

Details

NPI
1073101119
Entity type
Organization (NPI-2)
Legal business name
2nd Home 4 Kids LLC
Organization subpart
No
Enumeration date
Jan 5, 2021
Certification date
Jan 5, 2021
Last updated
Jan 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

3138 S Parker Rd
Aurora, CO 80014-3110

Phone 303-999-7763

Mailing address

2990 S Peoria St
Aurora, CO 80014-3152

Phone 303-999-7763

Authorized official

Haneen Omar
Director
3039997763

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