Advanced Infant Formulas LLC
Organization Active NPI Parenteral & Enteral Nutrition Supplies (DME) · Fountain, CO
NPI 1609059971 · NPPES record last updated Dec 10, 2007
Key facts
- NPI
- 1609059971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
- Legal business name
- ADVANCED INFANT FORMULAS LLC
- Practice address
- 10 Circle C Rd
Fountain, CO 80817-3307 - Phone
- (719) 201-6231
- Fax
- (719) 392-4607
- NPI assigned
- Dec 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Wallace Layne Sisler
- Title
- Partner
- Phone
- (719) 201-6231
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Yes |
Addresses
Primary practice location
10 Circle C Rd
Fountain, CO 80817-3307
Mailing address
10 Circle C Rd
Fountain, CO 80817-3307
Phone (719) 201-6231
Other providers in Fountain, CO
- Action Behavior Centers Therapy LLC
- Action Behavior Centers Therapy LLC
- Action Behavior Centers, LLC
- Action Behavior Centers, LLC
- Lauren Grace Adler
- Fahad Ahmed
- Nabeel Al-Nasser
- Kayla Albertella
- Leah Alford
- All Care at Home, Inc
All providers in Fountain, CO · Parenteral & Enteral Nutrition Supplies (DME) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.