Organization Name: | ROCKY MOUNTAIN STATES RECOVERY |
NPI Number: | 1003287723 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD BLAKE WILSON (PRESIDENT) |
Mailing Address: | 7311 Village Square Dr 1712 Castle Pines |
State: | CO US |
Postal Code: | 801089373 |
Phone Number: | 3037183039 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 20151586798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |