Organization
COLORADO WHEELCHAIR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON EDWARD GAITTEN II (OWNER)
(303) 684-8852
Entity
Organization
Contact information
Practice address
745 TANAGER CIR, LONGMONT, CO 80501-2697
(303) 684-8852
(800) 650-9604
Mailing address
745 TANAGER CIR, LONGMONT, CO 80501-2697
(303) 684-8852
(800) 650-9604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80204368
—
CO
Enumeration date
08/01/2006
Last updated
04/24/2008
Update your record
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