Organization
TAZCO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MILAN (GENERAL MANAGER)
(954) 558-1249
Entity
Organization
Contact information
Practice address
1321 UTE AVE, GRAND JUNCTION, CO 81501-4619
(970) 361-3130
(970) 361-3130
Mailing address
PO BOX 717, GRAND JUNCTION, CO 81502-0717
(970) 361-3130
(970) 361-3130
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
19429
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04143020
—
CO
05
—
06001218
—
CO
Enumeration date
02/16/2015
Last updated
06/05/2021
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