Provider Demographics
NPI:1629560834
Name:AAA TAURUS CONSTRUCTION
Entity Type:Organization
Organization Name:AAA TAURUS CONSTRUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ORDEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:IBSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-238-8571
Mailing Address - Street 1:2329 W MAIN ST STE 208
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8200
Mailing Address - Country:US
Mailing Address - Phone:303-238-8571
Mailing Address - Fax:
Practice Address - Street 1:2329 W MAIN ST STE 208
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8200
Practice Address - Country:US
Practice Address - Phone:303-238-8571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty