MEDICARE: ZEPOL ENTERPRISES

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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1407367428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEPOL ENTERPRISES

Provider Business Mailing Address
First Line	:	9725 E HAMPDEN AVE STE 308
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4919
Country	:	US
Telephone Number	:	443-604-5810
Fax Number	:

Provider Business Practice Location Address
First Line	:	9725 E HAMPDEN AVE STE 308
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4919
Country	:	US
Telephone Number	:	443-604-5810
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	GREGORY ALEXANDER BROWN
Credential	:
Telephone Number	:	443-604-5810

Provider Enumeration Date	:	10/17/2017
Last Update Date	:	10/17/2017

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Directions to “ZEPOL ENTERPRISES ” Practice Location

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