Organization
PRIMA ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA NOVOSELSKY (PRESIDENT)
(720) 524-9206
Entity
Organization
Contact information
Practice address
6630 E HAMPDEN AVE, DENVER, CO 80224-3004
(720) 524-9206
Mailing address
6630 E HAMPDEN AVE, DENVER, CO 80224-3004
(720) 524-9206
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79155075
—
CO
Enumeration date
01/07/2016
Last updated
01/07/2016
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