Organization
ROTHALL, INC.
Active
Other names
Thornton Wheelchairs Plus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD W ROTH (OWNER)
(719) 564-5333
Entity
Organization
Contact information
Practice address
1951 LAKE AVE, PUEBLO, CO 81004-3321
(719) 564-5333
(719) 564-6133
Mailing address
1951 LAKE AVE, PUEBLO, CO 81004-3321
(719) 564-5333
(719) 564-6133
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
03-49440-0000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08000994
—
CO
Enumeration date
06/17/2006
Last updated
11/22/2016
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