MEDICARE: TONY TYGER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	376J00000X	Homemaker
3	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1740986470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TONY TYGER LLC

Provider Business Mailing Address
First Line	:	6701 S TEMPE CT
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-2945
Country	:	US
Telephone Number	:	303-898-3703
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 S TEMPE CT
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-2945
Country	:	US
Telephone Number	:	303-898-3703
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TONY DELK JR.
Credential	:
Telephone Number	:	303-898-3703

Provider Enumeration Date	:	02/03/2023
Last Update Date	:	02/03/2023

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Directions to “TONY TYGER LLC ” Practice Location

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