Provider Demographics
NPI:1467989244
Name:COLT ENTERPRISES, INC
Entity Type:Organization
Organization Name:COLT ENTERPRISES, INC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-351-9903
Mailing Address - Street 1:133 E JOHN ST
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-3341
Mailing Address - Country:US
Mailing Address - Phone:567-336-6062
Mailing Address - Fax:567-336-6069
Practice Address - Street 1:133 E JOHN ST
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-3341
Practice Address - Country:US
Practice Address - Phone:567-336-6062
Practice Address - Fax:567-336-6069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care