Organization
GREEN LAKEVIEW ADULT DAYCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN MUZYCHENKO (MANAGER)
(303) 421-2914
Entity
Organization
Contact information
Practice address
9999 W 60TH AVE, ARVADA, CO 80004-4949
(303) 421-2914
(303) 421-2915
Mailing address
9999 W 60TH AVE, ARVADA, CO 80004-4949
(303) 421-2914
(303) 421-2915
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
20101564719
CO
Other
Enumeration date
07/09/2016
Last updated
07/09/2016
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