Organization
GRACE ADULT DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEONG S RICHARDSON REGISTERED NURSE (REGISTERED NURSE/ADMINISTRATOR)
(720) 277-5116
Entity
Organization
Contact information
Practice address
2060 S HAVANA ST, AURORA, CO 80014-1014
(303) 750-0036
Mailing address
2060 S HAVANA ST, AURORA, CO 80014-1014
(303) 750-0036
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN0185593
CO
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
01/05/2018
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