Individual
RICHARD ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14900 COUNTY ROAD GG.5, LAS ANIMAS, CO 81054-9456
(719) 456-0045
Mailing address
14900 COUNTY ROAD GG.5, LAS ANIMAS, CO 81054-9456
(719) 456-0045
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
NOT REQUIRED - BENT
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04142238
HCBS BILLING NUMBER
CO
Enumeration date
04/12/2016
Last updated
04/12/2016
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