Provider Demographics
NPI:1003173147
Name:ARBOR SPRINGS OF COLORADO
Entity Type:Organization
Organization Name:ARBOR SPRINGS OF COLORADO
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:P
Authorized Official - Last Name:WURTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-317-8998
Mailing Address - Street 1:4730 WALNUT ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2558
Mailing Address - Country:US
Mailing Address - Phone:303-447-2008
Mailing Address - Fax:303-447-0012
Practice Address - Street 1:4730 WALNUT ST
Practice Address - Street 2:SUITE 212
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2558
Practice Address - Country:US
Practice Address - Phone:303-447-2008
Practice Address - Fax:303-447-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04H137253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care