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Organization
MD CARE LLC
Active
Organization
MD CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSAAB DAWLA (ADMINISTRATOR)
(720) 324-1989
Entity
Organization
Contact information
Practice address
5 DONNINGTON ST, PUEBLO, CO 81005-5529
(720) 324-1989
Mailing address
1642 S PARKER RD STE 105, DENVER, CO 80231-2918
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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