Healthcare Provider Details

I. General information

NPI: 1669603015
Provider Name (Legal Business Name): PAMMY CARES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 08/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 W 78TH PL
DENVER CO
80221-4005
US

IV. Provider business mailing address

541 W 78TH PL
DENVER CO
80221-4005
US

V. Phone/Fax

Practice location:
  • Phone: 303-261-6617
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. MIRANDA VARNEY
Title or Position: OWNER
Credential:
Phone: 303-261-6617