Healthcare Provider Details

I. General information

NPI: 1154588754
Provider Name (Legal Business Name): CKC ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 E 70TH AVE UNIT 1-W
DENVER CO
80229
US

IV. Provider business mailing address

625 E 70TH AVE UNIT 1-W
DENVER CO
80229
US

V. Phone/Fax

Practice location:
  • Phone: 303-296-8080
  • Fax: 303-338-8191
Mailing address:
  • Phone: 303-296-8080
  • Fax: 303-338-8191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number23173
License Number StateCO

VIII. Authorized Official

Name: MR. CURTIS K COMBA
Title or Position: PRESIDENT
Credential:
Phone: 303-296-8080