Organization
SECOND HOME LLC
Active
Parent organization
SECOND HOME LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SECOND HOME LLC
Authorized official
GURGEN KRYLOV (OWNER)
(720) 448-7406
Entity
Organization
Contact information
Practice address
390 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 375-8121
Mailing address
390 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 375-8121
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
02/17/2025
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