The Carney Cottage
Homemaker in Fountain, CO. Organization (NPI-2).
NPI number1366006397
StatusActive
Last updated in NPPESApr 25, 2019
Details
- NPI
- 1366006397
- Entity type
- Organization (NPI-2)
- Legal business name
- The Carney Cottage
- Organization subpart
- No
- Enumeration date
- Apr 25, 2019
- Last updated
- Apr 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
704 Fountain Mesa RdFountain, CO 80817-3160
Phone 719-233-2290
Mailing address
704 Fountain Mesa RdFountain, CO 80817-3160
Phone 719-233-2290
Authorized official
Tammy Lynn Carney
Director
7192332290
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