Organization
MIRACLE GUARDIAN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY WARDEN (DIRECTOR)
(303) 870-8632
Entity
Organization
Contact information
Practice address
5002 YATES CIR, BROOMFIELD, CO 80020-5758
(303) 870-8632
Mailing address
1001 E 62ND AVE UNIT 516, DENVER, CO 80216-1156
(303) 870-8632
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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