MEDICARE: ASHA DOWELL

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1619473170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHA DOWELL

Provider Business Mailing Address
First Line	:	4895 KERRY LYNN VW UNIT 201
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-5668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4895 KERRY LYNN VW UNIT 201
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-5668
Country	:	US
Telephone Number	:	217-597-3853
Fax Number	:	719-960-2793

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2018
Last Update Date	:	04/03/2018

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Directions to “ ASHA DOWELL ” Practice Location

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