Organization
TRENISE INC
Active
Other names
Salida Medical & Respiratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED W JACKSON JR. (OWNER)
(719) 539-2704
Entity
Organization
Contact information
Practice address
1535 G ST, SALIDA, CO 81201-2325
(719) 539-2704
(719) 539-6712
Mailing address
1535 G ST, SALIDA, CO 81201-2325
(719) 539-2704
(719) 539-6712
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08840837
—
CO
Enumeration date
07/13/2005
Last updated
07/21/2022
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