Organization
ROARING FORK TRANSPORTATION LLC
Active
Other names
Roaring Fork Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER BONILLA (OWNER)
(970) 456-9965
Entity
Organization
Contact information
Practice address
191 PRENTICE TRL, CARBONDALE, CO 81623-9827
(970) 456-9965
Mailing address
191 PRENTICE TRL, CARBONDALE, CO 81623-9827
(970) 456-9965
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/19/2023
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