Olorun-asa Llc | |
1025 Main St Grand Junction CO 81501-3540 | |
(970) 462-5960 | |
Not Available |
Full Name | Olorun-asa Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1025 Main St, Grand Junction, Colorado |
Authorized Official Name and Position | Patrick Mcrae (OWNER) |
Authorized Official Contact | 9704625960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Olorun-asa Llc Po Box 41178 Grand Junction CO 81504-1178 Ph: () - | Olorun-asa Llc 1025 Main St Grand Junction CO 81501-3540 Ph: (970) 462-5960 |
NPI Number | 1194232025 |
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Provider Enumeration Date | 12/30/2017 |
Last Update Date | 01/18/2020 |
Certification Date | 01/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194232025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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