Provider Demographics
NPI:1194018499
Name:SHENICHRIS INCORPORATED
Entity type:Organization
Organization Name:SHENICHRIS INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FOSSENIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:303-921-7827
Mailing Address - Street 1:19029 E PLAZA DR STE 245
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4009
Mailing Address - Country:US
Mailing Address - Phone:303-841-6700
Mailing Address - Fax:303-841-1579
Practice Address - Street 1:19029 E PLAZA DR STE 245
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4009
Practice Address - Country:US
Practice Address - Phone:303-841-6700
Practice Address - Fax:303-841-1579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care