Provider Demographics
NPI:1619415346
Name:SPECIAL OPERATIONS SERVICES
Entity Type:Organization
Organization Name:SPECIAL OPERATIONS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-633-4832
Mailing Address - Street 1:8892 S CATAWBA WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7850
Mailing Address - Country:US
Mailing Address - Phone:347-927-9462
Mailing Address - Fax:
Practice Address - Street 1:8892 S CATAWBA WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7850
Practice Address - Country:US
Practice Address - Phone:347-927-9462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care