Organization
ADVANCECARE MEDICAL SUPPLY AND EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENO EKIKO (OWNER/DIRECTOR)
(720) 748-6585
Entity
Organization
Contact information
Practice address
16663 E RICE CIR, AURORA, CO 80015-1634
(720) 748-6585
(720) 870-7794
Mailing address
16663 E RICE CIR, AURORA, CO 80015-1634
(720) 748-6585
(720) 870-7794
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
30604541
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604541
—
CO
Enumeration date
08/18/2006
Last updated
06/16/2008
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