Healthcare Provider Details

I. General information

NPI: 1710695119
Provider Name (Legal Business Name): SEASONS FOR ALL HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 E 136TH AVE STE 100
THORNTON CO
80241-3542
US

IV. Provider business mailing address

2900 E 136TH AVE STE 100
THORNTON CO
80241-3542
US

V. Phone/Fax

Practice location:
  • Phone: 303-999-3950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: HEATHER PRESTRIDGE
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 303-999-3950