MEDICARE: SEKRET IS SERVICE DME, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1760770861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEKRET IS SERVICE DME, LLC

Provider Business Mailing Address
First Line	:	2821 S PARKER RD
Second Line	:	2-0173
City	:	AURORA
State	:	CO
Zip	:	80014-2735
Country	:	US
Telephone Number	:	303-548-8977
Fax Number	:

Provider Business Practice Location Address
First Line	:	2821 S PARKER RD
Second Line	:	2-0173
City	:	AURORA
State	:	CO
Zip	:	80014-2735
Country	:	US
Telephone Number	:	303-548-8977
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MS. JOAN REYNOLDS
Credential	:
Telephone Number	:	303-548-8977

Provider Enumeration Date	:	07/11/2011
Last Update Date	:	07/11/2011

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