Provider Demographics
NPI:1528500709
Name:DEBRA FRITTS LLC
Entity type:Organization
Organization Name:DEBRA FRITTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITTS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:720-351-9823
Mailing Address - Street 1:4290 S KITTREDGE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2547
Mailing Address - Country:US
Mailing Address - Phone:720-351-9823
Mailing Address - Fax:
Practice Address - Street 1:4290 S KITTREDGE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2547
Practice Address - Country:US
Practice Address - Phone:720-351-9823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-05
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPN0047472310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility