Organization
AITHR DEALER INC
Active
Parent organization
FIRSTSTREET FOR BOOMERS AND BEYOND, INC
Other names
Aging in the Home Remodelers
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRSTSTREET FOR BOOMERS AND BEYOND, INC
Authorized official
MATT GLASS (SHAREHOLDER)
(720) 504-0126
Entity
Organization
Contact information
Practice address
3900 S WADSWORTH BLVD, STE 200, LAKEWOOD, CO 80235-2203
(720) 504-0126
Mailing address
1998 RUFFIN MILL RD, SOUTH CHESTERFIELD, VA 23834-5913
(303) 222-3202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1001047
CA
332B00000X
Durable Medical Equipment & Medical Supplies
132123
MD
332B00000X
Durable Medical Equipment & Medical Supplies
2014605400
DE
332B00000X
Durable Medical Equipment & Medical Supplies
206632
OR
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2705156243
VA
332B00000X
Durable Medical Equipment & Medical Supplies
379703
NM
332B00000X
Durable Medical Equipment & Medical Supplies
44179
SC
332B00000X
Durable Medical Equipment & Medical Supplies
44690
NE
332B00000X
Durable Medical Equipment & Medical Supplies
79204
NV
332B00000X
Durable Medical Equipment & Medical Supplies
882879
LA
332B00000X
Durable Medical Equipment & Medical Supplies
BC663730
MN
332B00000X
Durable Medical Equipment & Medical Supplies
CC AITHRDI864M9
WA
332B00000X
Durable Medical Equipment & Medical Supplies
PA112522
PA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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