Organization
MILE HIGH MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWONETTE PROTHRO (OWNER)
(720) 621-2041
Entity
Organization
Contact information
Practice address
4340 E KENTUCKY AVE, SUITE 446, GLENDALE, CO 80246-2060
(720) 621-2041
Mailing address
4340 E KENTUCKY AVE, SUITE 446, GLENDALE, CO 80246-2060
(720) 621-2041
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
091720
CO
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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