Organization
MANTRA ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAKHOVADDIN NIZOMIDDINOV (OWNER)
(720) 628-4641
Entity
Organization
Contact information
Practice address
10180 E COLFAX AVE STE 205, AURORA, CO 80010-5040
(720) 628-4641
Mailing address
16159 E RICE PL APT A, AURORA, CO 80015-6993
(720) 628-4641
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/14/2020
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