Organization
XANADU - 2 CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRADLEY RAIL (OWNER/ADMINISTRATOR)
(720) 425-7285
Entity
Organization
Contact information
Practice address
1391 XANADU ST, AURORA, CO 80011-6532
(303) 364-9630
(303) 364-9868
Mailing address
1391 XANADU ST, AURORA, CO 80011-6532
(303) 364-9630
(303) 364-9868
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23776277
—
CO
Enumeration date
04/14/2016
Last updated
04/14/2016
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