# MD CARE LLC

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

## Provider details

- **NPI number:** 1972346005
- **Authorized official:** MOSAAB DAWLA (ADMINISTRATOR)
- **Authorized official phone:** (720) 324-1989

## Contact information

- **Practice address:** 5 DONNINGTON ST, PUEBLO, CO 81005-5529
- **Practice address phone:** (720) 324-1989
- **Mailing address:** 1642 S PARKER RD STE 105, DENVER, CO 80231-2918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | — | Yes |
| 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