Healthcare Provider Details

I. General information

NPI: 1144865072
Provider Name (Legal Business Name): ZUMA'S RESCUE RANCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2019
Last Update Date: 12/14/2019
Certification Date: 12/14/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7745 N MOORE RD
LITTLETON CO
80125-9501
US

IV. Provider business mailing address

7745 N MOORE RD
LITTLETON CO
80125-9501
US

V. Phone/Fax

Practice location:
  • Phone: 303-346-7493
  • Fax:
Mailing address:
  • Phone: 303-346-7493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JODI MESSENICH
Title or Position: OWNER
Credential:
Phone: 720-635-2331