MEDICARE: DENVER DIFFERENCE ENERGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332U00000X	Home Delivered Meals
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043514094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER DIFFERENCE ENERGY

Provider Business Mailing Address
First Line	:	2023 S XENIA WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-3361
Country	:	US
Telephone Number	:	303-520-1274
Fax Number	:

Provider Business Practice Location Address
First Line	:	2023 S XENIA WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-3361
Country	:	US
Telephone Number	:	303-520-1274
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	MUKEEZE MUWANGA
Credential	:
Telephone Number	:	303-520-1274

Provider Enumeration Date	:	01/05/2011
Last Update Date	:	01/05/2011

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Directions to “DENVER DIFFERENCE ENERGY ” Practice Location

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