Organization
BURGOYNE VENTURES
Active
Other names
Denver Amramp
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE L BURGOYNE (OWNER)
(303) 903-0902
Entity
Organization
Contact information
Practice address
95 NAVAJO TRL, PINE, CO 80470-7805
(303) 505-2699
Mailing address
95 NAVAJO TRL, PINE, CO 80470-7805
(303) 505-2699
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CS029015
—
MA
Enumeration date
12/17/2018
Last updated
06/15/2020
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