Organization
TRAVEL PARADISE VACATIONS
Active
Parent organization
TRAVEL PARADISE VACATIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRAVEL PARADISE VACATIONS
Authorized official
DR. LEQUESOR LYNETTE DAVIS PASTOR (MANAGER/ CHIEF EXECUTIVE DIRECTOR)
(225) 333-9220
Entity
Organization
Contact information
Practice address
1459 WILD BLOSSOM WAY, CASTLE ROCK, CO 80104-7635
Mailing address
1459 WILD BLOSSOM WAY, CASTLE ROCK, CO 80104-7635
(225) 333-9220
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215430210
—
CO
Enumeration date
01/28/2020
Last updated
01/28/2020
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