Organization
ASSURANCE SUPPORT SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORMAH PINKY KOLLEH (CEO)
(720) 420-9049
Entity
Organization
Contact information
Practice address
11059 E BETHANY DR STE 105, AURORA, CO 80014-2617
(720) 420-9049
(720) 368-5299
Mailing address
24789 E FLORIDA AVE, AURORA, CO 80018-6054
(215) 888-4813
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821454398
—
CO
Enumeration date
01/29/2020
Last updated
06/15/2021
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