Organization
COLORADO HOME MODIFICATIONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M STOFAC (SOLE MEMBER)
(303) 229-5724
Entity
Organization
Contact information
Practice address
10255 CARMODY LN, LAKEWOOD, CO 80227-2084
(303) 229-5724
Mailing address
10255 CARMODY LN, LAKEWOOD, CO 80227-2084
(303) 229-5724
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
UNKNOWN
—
Enumeration date
07/21/2022
Last updated
07/21/2022
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