Organization
BLUE SKY ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA PETROVNA KLIMOK (OWNER)
(303) 254-8219
Entity
Organization
Contact information
Practice address
5923 E 114TH PL, THORNTON, CO 80233-5553
(303) 254-8219
Mailing address
5923 E 114TH PL, THORNTON, CO 80233-5553
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
4225362
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35427086
—
CO
Enumeration date
07/23/2007
Last updated
07/23/2007
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