MEDICARE: BARRIER FREE DESIGNS LLC

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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1467902247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRIER FREE DESIGNS LLC

Provider Business Mailing Address
First Line	:	3441 W 22ND AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-5019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3441 W 22ND AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-5019
Country	:	US
Telephone Number	:	720-838-6328
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WJ GAVIN
Credential	:
Telephone Number	:	720-838-6328

Provider Enumeration Date	:	10/05/2016
Last Update Date	:	10/05/2016

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