Provider Demographics
NPI:1427308873
Name:SLIMDOWN4LIFE
Entity type:Organization
Organization Name:SLIMDOWN4LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:FLAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-520-1285
Mailing Address - Street 1:40 WEST LITTLETON BLVD
Mailing Address - Street 2:SUITE 210059
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2478
Mailing Address - Country:US
Mailing Address - Phone:720-283-0960
Mailing Address - Fax:720-283-0968
Practice Address - Street 1:5191 S YOSEMITE STREET
Practice Address - Street 2:SUITE B
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:303-577-9977
Practice Address - Fax:303-694-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes132700000XDietary & Nutritional Service ProvidersDietary ManagerGroup - Single Specialty