Healthcare Provider Details

I. General information

NPI: 1134878929
Provider Name (Legal Business Name): AHOD SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 06/08/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 BATTLE MOUNTAIN RD
COLORADO SPRINGS CO
80922-1215
US

IV. Provider business mailing address

693 BRIDGER DR
COLORADO SPRINGS CO
80909-5454
US

V. Phone/Fax

Practice location:
  • Phone: 720-365-7377
  • Fax:
Mailing address:
  • Phone: 833-937-2463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE FLEMINGS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 833-937-2463