Organization
SEB'S RECREATION CENTER
Active
Other names
Seb's Recreation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITHAN HOLIDAY (OWNER)
(303) 353-9822
Entity
Organization
Contact information
Practice address
1710 S BUCKLEY RD UNIT 9, AURORA, CO 80017-5639
(303) 353-9822
Mailing address
1710 S BUCKLEY RD UNIT 9, AURORA, CO 80017-5639
(303) 353-9822
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QV0200X
VA Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80017
RECREATION
CO
05
—
80017
—
CO
Enumeration date
01/14/2020
Last updated
03/04/2021
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