Provider Demographics
NPI:1144081381
Name:ANGELAS ADVENTURE AWAITS
Entity type:Organization
Organization Name:ANGELAS ADVENTURE AWAITS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GIULITTO
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:720-219-2073
Mailing Address - Street 1:1607 AUGUSTINE DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-8059
Mailing Address - Country:US
Mailing Address - Phone:720-219-2073
Mailing Address - Fax:
Practice Address - Street 1:1607 AUGUSTINE DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-8059
Practice Address - Country:US
Practice Address - Phone:720-219-2073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)