Provider Demographics
NPI:1336997733
Name:FRIENDS WITH DISABILITIES LLC
Entity type:Organization
Organization Name:FRIENDS WITH DISABILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-324-8939
Mailing Address - Street 1:13900 E FLORIDA AVE STE D
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5821
Mailing Address - Country:US
Mailing Address - Phone:720-324-8939
Mailing Address - Fax:855-730-1611
Practice Address - Street 1:618 ELKTON DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3514
Practice Address - Country:US
Practice Address - Phone:720-324-8939
Practice Address - Fax:855-730-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies