Organization
SENIORS' RESOURCE CENTER, INC. EVERGREEN
Active
Parent organization
SENIORS' RESOURCE CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIORS' RESOURCE CENTER, INC.
Authorized official
JOHN ZABAWA (PRESIDENT/CEO)
(303) 238-8151
Entity
Organization
Contact information
Practice address
5120 HIGHWAY 73, EVERGREEN, CO 80439-7301
(303) 674-2843
(303) 674-8874
Mailing address
3227 CHASE ST, WHEAT RIDGE, CO 80212-7033
(303) 238-8151
(303) 238-4393
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04G940
CO
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04138632
—
CO
05
—
06000764
—
CO
Enumeration date
02/06/2017
Last updated
02/06/2017
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