Organization
MITCH B. CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA PHAN (EXECUTIVE DIRECTOR)
(720) 308-0195
Entity
Organization
Contact information
Practice address
3289 GROVE ST, DENVER, CO 80211-3286
(303) 477-4262
Mailing address
3289 GROVE ST, DENVER, CO 80211-3286
(303) 477-4262
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/18/2019
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