- Enrollment id
- O20091214000352
- Enrollment state
- CO
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1548389836
- Multiple npi flag
- N
- Ccn
- 067215
- Associate id
- 3779623244
- Organization name
- PREFERRED MOBILE NURSES, INC.
- Doing business as name
- PREFERRED HOME HEALTH
- Incorporation date
- 1988-01-25
- Incorporation state
- CO
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 2802 MADISON SQUARE DR
- Address line 2
- STE 100
- City
- LOVELAND
- State
- CO
- Zip code
- 805383396