Organization
WIDE HORIZON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D BRIAN BOETTIGER (EXECUTIVE DIRECTOR)
(303) 424-4445
Entity
Organization
Contact information
Practice address
8900 W 38TH AVE, WHEAT RIDGE, CO 80033-4204
(303) 424-4445
(303) 422-6373
Mailing address
8900 W 38TH AVE, WHEAT RIDGE, CO 80033-4204
(303) 424-4445
(303) 422-6373
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
0107
CO
Other
Enumeration date
06/10/2005
Last updated
08/22/2020
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