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Organization

INTEGRATED TRANSITION CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIAMAWIT DESTA (OWNER/OPERATOR)
(678) 755-5601
Entity
Organization

Contact information

Practice address
7565 S FRANKLIN WAY, CENTENNIAL, CO 80122-3111
(678) 755-5601
Mailing address
7565 S FRANKLIN WAY, CENTENNIAL, CO 80122-3111
(678) 755-5601

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
03/26/2024
Last updated
03/26/2024
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