Organization
BACC AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD ALAN LOVE (OWNER)
(719) 494-6590
Entity
Organization
Contact information
Practice address
2421 W WILLAMETTE AVE, COLORADO SPRINGS, CO 80904-2660
(719) 494-6590
Mailing address
13918 E MISSISSIPPI AVE # 206, AURORA, CO 80012-3603
(719) 494-6590
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
95-135-3538
CO
347E00000X
Transportation Broker
Primary
95-135-3538
CO
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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