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General NPI Number Information
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NPI Number | 1619277746
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Entity Type | Organization
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Legal Business Name | ALTITUDE HOME CARE, INC.
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 1023 39TH AVE STE L
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City | GREELEY
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State | CO
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Zip | 80634-2502
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Country | US
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Telephone | 970-405-8828
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Fax | 970-330-1841
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Provider Business Mailing Address
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Address Line | 1023 39TH AVE STE L
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City | GREELEY
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State | CO
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Zip | 80634-2502
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Country | US
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Telephone | 970-405-8828
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Fax | 970-330-1841
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREG RUSCH
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Credential |
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Telephone | 970-405-8828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04G124
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License Number State | CO
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