Organization
KIDS WHEELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS EGGERT (PRESIDENT)
(303) 202-2700
Entity
Organization
Contact information
Practice address
1360 S WADSWORTH BLVD STE 102, LAKEWOOD, CO 80232-5454
(303) 202-2700
Mailing address
1360 S WADSWORTH BLVD STE 102, LAKEWOOD, CO 80232-5454
(303) 202-2700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
06000608
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06000608
—
CO
01
—
50096
PUC
—
Enumeration date
06/15/2015
Last updated
06/15/2015
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