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General NPI Number Information
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NPI Number | 1861766388
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Entity Type | Organization
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Legal Business Name | VALLEY HOME SERVICES, INC D/B/A/ COLUMBINE CAREGIVERS
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 602 26 1/2 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1905
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Country | US
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Telephone | 970-210-2246
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Fax | 970-628-1782
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Provider Business Mailing Address
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Address Line | PO BOX 4358
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-4358
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Country | US
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Telephone | 970-210-2246
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Fax | 970-628-1782
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL PATRICK MCCORMICK
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Credential |
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Telephone | 970-210-2246
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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 | 04R290
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License Number State | CO
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