Primary Home Care

NPI #1881667376 in Pueblo, Colorado

Provider Information

NPI Number: 1881667376
Entity Type: Organization
Organization Name: Primary Home Care
Primary Specialty: Home Health
Enumeration Date: Feb 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 513 BROADWAY AVE
City: Pueblo
State: Colorado
ZIP Code: 81004-2115
Phone: (719) 542-7141

Authorized Official

Name: MS. JEWEL MARIE DENSFORD, R.N.
Title: ADMINISTRATOR
Phone: (719) 542-7141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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