Provider Demographics
NPI:1700302965
Name:DENVER TOWN CAR LLC
Entity Type:Organization
Organization Name:DENVER TOWN CAR LLC
Other - Org Name:DENVER TOWN CAR LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEWODROS
Authorized Official - Middle Name:ASMARE
Authorized Official - Last Name:WORKNEH
Authorized Official - Suffix:
Authorized Official - Credentials:PROFESSIONAL DRIVER
Authorized Official - Phone:720-620-9645
Mailing Address - Street 1:5602 S BISCAY CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5152
Mailing Address - Country:US
Mailing Address - Phone:720-620-9645
Mailing Address - Fax:303-672-2474
Practice Address - Street 1:5602 S BISCAY CT
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80001-5152
Practice Address - Country:US
Practice Address - Phone:720-620-9645
Practice Address - Fax:303-672-2474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker