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NPI Code Detail

MEDICARE: MILE HIGH LIMO LLC.

MEDICARE: MILE HIGH LIMO LLC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance20141668889CO

General Provider Information

NPI Number : 1538650551
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILE HIGH LIMO LLC.
Provider Business Mailing Address
First Line : 4974 EUREKA CT
Second Line :
City : DENVER
State : CO
Zip : 80239-4274
Country : US
Telephone Number : 720-331-9533
Fax Number : 720-428-8336
Provider Business Practice Location Address
First Line : 4974 EUREKA CT
Second Line :
City : DENVER
State : CO
Zip : 80239-4274
Country : US
Telephone Number : 720-331-9533
Fax Number : 720-428-8336
Authorized Official
Title or Position : OWNER
Name : MR. ADEMASU M CHEKOLE I
Credential : PROVIDERS
Telephone Number : 720-331-9533
Provider Enumeration Date : 05/24/2018
Last Update Date : 06/16/2018

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Directions to “MILE HIGH LIMO LLC. ” Practice Location

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