| Organization Name: | ROARING FORK HOSPICE |
| NPI Number: | 1568525822 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY DUPPER (CFO) |
| Mailing Address: | 1906 Blake Ave Glenwood Springs |
| State: | CO US |
| Postal Code: | 816014227 |
| Phone Number: | 9703847530 |
| Fax Number: | 9709470149 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |