Healthcare Provider Details

I. General information

NPI: 1083163976
Provider Name (Legal Business Name): ARROW MENTORING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 FORD ST
GOLDEN CO
80401-2421
US

IV. Provider business mailing address

2015 FORD ST
GOLDEN CO
80401-2421
US

V. Phone/Fax

Practice location:
  • Phone: 720-404-1985
  • Fax:
Mailing address:
  • Phone: 720-404-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY MCNEAL
Title or Position: OWNER
Credential:
Phone: 720-404-1985