Organization Name: | HEALTHONE |
NPI Number: | 1497779094 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLINE TYSSELAND (PROGRAM DIRECTOR) |
Mailing Address: | 3444 S Emerson St Englewood |
State: | CO US |
Postal Code: | 801132834 |
Phone Number: | 3037891519 |
Fax Number: | 3037897642 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | NOT REQUIRED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |