Provider Demographics
NPI:1851665228
Name:T & D HARRISON LLC DBA VISITING ANGELS
Entity Type:Organization
Organization Name:T & D HARRISON LLC DBA VISITING ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-254-8888
Mailing Address - Street 1:2536 RIMROCK AVE
Mailing Address - Street 2:SUITE 400 #331
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-8669
Mailing Address - Country:US
Mailing Address - Phone:970-254-8888
Mailing Address - Fax:970-241-3021
Practice Address - Street 1:2470 F RD STE 6
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1279
Practice Address - Country:US
Practice Address - Phone:970-254-8888
Practice Address - Fax:970-241-3021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04H131253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care