Organization
NOSTALGIA GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SHANNON (EXECUTIVE DIRECTOR)
(303) 298-0027
Entity
Organization
Contact information
Practice address
1325 S COLORADO BLVD STE B304, DENVER, CO 80222-3303
(303) 298-0027
(303) 298-0037
Mailing address
1325 S COLORADO BLVD STE B304, DENVER, CO 80222-3303
(303) 298-0027
(303) 298-0037
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66558042
—
CO
Enumeration date
02/05/2016
Last updated
02/05/2016
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