Provider Demographics
NPI:1366552358
Name:FILACHEK, RUTH A
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:A
Last Name:FILACHEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17694 E BRUNSWICK PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2184
Mailing Address - Country:US
Mailing Address - Phone:303-693-5075
Mailing Address - Fax:303-693-0197
Practice Address - Street 1:17694 E BRUNSWICK PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2184
Practice Address - Country:US
Practice Address - Phone:303-693-5075
Practice Address - Fax:303-693-0197
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CODOES NOT APPLY374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered374U00000XNursing Service Related ProvidersHome Health Aide