# RGA DIABETES & NUTRITION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194175760
- **Authorized official:** ROSANNE GROVER AINSCOUGH RD (OWNER)
- **Authorized official phone:** (720) 261-7885

## Contact information

- **Practice address:** 6684 S PONTIAC CT, CENTENNIAL, CO 80111-4624
- **Practice address phone:** (720) 261-7885
- **Practice address fax:** (720) 598-1011
- **Mailing address:** 6684 S PONTIAC CT, CENTENNIAL, CO 80111-4624
- **Mailing address phone:** (720) 261-7885
- **Mailing address fax:** (720) 598-1011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2016
- **Last updated:** 06/15/2016