Organization
MASTERCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FRANK OGEDEGBE (DIRECTOR/OWNER)
(720) 404-9701
Entity
Organization
Contact information
Practice address
5201 TRUCKEE ST, DENVER, CO 80249-8789
(720) 404-9701
Mailing address
5201 TRUCKEE ST, DENVER, CO 80249-8789
(720) 404-9701
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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