Healthcare Provider Details

I. General information

NPI: 1932866381
Provider Name (Legal Business Name): DEVRIES ACCESSIBILITY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 11/19/2021
Certification Date: 11/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 GREENBRIAR ST
FRUITA CO
81521-2928
US

IV. Provider business mailing address

501 GREENBRIAR ST
FRUITA CO
81521-2928
US

V. Phone/Fax

Practice location:
  • Phone: 970-773-3302
  • Fax:
Mailing address:
  • Phone: 970-773-3302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS J DEVRIES
Title or Position: OWNER
Credential:
Phone: 970-773-3302