Healthcare Provider Details

I. General information

NPI: 1639933237
Provider Name (Legal Business Name): ALLIED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2095 S PONTIAC WAY
DENVER CO
80224-2411
US

IV. Provider business mailing address

2095 S PONTIAC WAY
DENVER CO
80224-2411
US

V. Phone/Fax

Practice location:
  • Phone: 303-389-5700
  • Fax: 303-389-5708
Mailing address:
  • Phone: 303-389-5700
  • Fax: 303-389-5708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTIN ELIZABETH DAHLQUIST
Title or Position: FRANCHISE OWNER, PRESIDENT
Credential: DSW, MPH
Phone: 720-840-9266