Healthcare Provider Details

I. General information

NPI: 1649884891
Provider Name (Legal Business Name): STRATT'S SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E GIRARD PL APT 5-212
ENGLEWOOD CO
80113-3102
US

IV. Provider business mailing address

1401 E GIRARD PL APT 5-212
ENGLEWOOD CO
80113-3102
US

V. Phone/Fax

Practice location:
  • Phone: 435-258-8236
  • Fax:
Mailing address:
  • Phone: 435-258-8236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: STRATTON CAPUTO
Title or Position: OWNER
Credential:
Phone: 435-258-8236