Organization · NPI-2

5280 Home Care Agency

Home Health · Aurora, CO

NPI number1104392430
StatusActive
Last updated in NPPESOct 13, 2018

Details

NPI
1104392430
Entity type
Organization (NPI-2)
Legal business name
5280 Home Care Agency
Organization subpart
No
Enumeration date
Oct 13, 2018
Last updated
Oct 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

22687 E Weaver Dr
Aurora, CO 80016-7002

Phone 303-908-6055

Mailing address

22687 E Weaver Dr
Aurora, CO 80016-7002

Phone 303-908-6055

Authorized official

Svetlana Shtutman
Manager
3039086055

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