Provider Demographics
NPI:1841733391
Name:FRONT RANGE PERS
Entity type:Organization
Organization Name:FRONT RANGE PERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:970-371-6319
Mailing Address - Street 1:3557 POLK CIR E
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-1682
Mailing Address - Country:US
Mailing Address - Phone:970-371-6319
Mailing Address - Fax:
Practice Address - Street 1:3557 POLK CIR E
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-1682
Practice Address - Country:US
Practice Address - Phone:970-371-6319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies