Organization
KAAUM ENTERPRISES
Active
Organization
KAAUM ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES ERNEST EDWARD MOORE BA (CEO/DIRECTOR OF DP OPERATIONS)
(719) 580-8810
Entity
Organization
Contact information
Practice address
155 PRINTERS PARKWAY, COLORADO SPRINGS, CO 80910-6100
(719) 396-3008
Mailing address
12728 WHEELER PEAK DR, PEYTON, CO 80831-8368
(719) 580-8810
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54125031
—
CO
Enumeration date
09/17/2018
Last updated
03/25/2022
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