Organization
DAISY CENTER
Active
Other names
Daisy Center
Organization subpart
No
Provider details
NPI number
Authorized official
TELICIA SLADE (ASSISTANT DIRECTOR)
(970) 361-1335
Entity
Organization
Contact information
Practice address
643 27 1/2 RD, GRAND JUNCTION, CO 81506-4183
(970) 243-3304
Mailing address
643 27 1/2 RD, GRAND JUNCTION, CO 81506-4183
(970) 243-3304
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
CO
Enumeration date
08/17/2022
Last updated
08/17/2022
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