Provider Demographics
NPI:1386006583
Name:OLSEN DBA DRM HOME CARE, DEBRA ANN
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:OLSEN DBA DRM HOME CARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14343 E 1ST DR UNIT 206
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-3853
Mailing Address - Country:US
Mailing Address - Phone:720-341-5198
Mailing Address - Fax:303-363-6047
Practice Address - Street 1:14343 E 1ST DR UNIT 206
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-3853
Practice Address - Country:US
Practice Address - Phone:720-341-5198
Practice Address - Fax:303-363-6047
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-26
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No376J00000XNursing Service Related ProvidersHomemaker