Healthcare Provider Details

I. General information

NPI: 1639778921
Provider Name (Legal Business Name): DENVER RECOVERY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 10/19/2020
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 E ARAPAHOE RD
LITTLETON CO
80122-8001
US

IV. Provider business mailing address

2822 E COLFAX AVE
DENVER CO
80206-1507
US

V. Phone/Fax

Practice location:
  • Phone: 720-283-3055
  • Fax: 303-794-4299
Mailing address:
  • Phone: 303-953-2299
  • Fax: 303-955-8830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KARLA CHAVEZ
Title or Position: BILLING DIRECTOR
Credential:
Phone: 575-993-5225