| NPI | 1720484108 |
|---|---|
| Doing Business As | BRENT'S PLACE |
| Entity Type | Organization |
| Authorized Contact | DONN ELEY Board Chair 720-343-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |