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Organization

MONACO ADULT DAY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARINA AYZENZON (EXECUTIVE DIRECTOR)
(303) 333-2299
Entity
Organization

Contact information

Practice address
6825 E TENNESSEE AVE, # 175, DENVER, CO 80224-1628
(303) 333-2299
(303) 388-3119
Mailing address
6825 E TENNESSEE AVE, # 175, DENVER, CO 80224-1628
(303) 333-2299
(303) 388-3119

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72656531
CO
Enumeration date
02/10/2006
Last updated
03/30/2016
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