Organization
MIA-MASTER INTERNAL AWARENESS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LEA VIGIL (OWNER/DIRECTOR)
(303) 366-3882
Entity
Organization
Contact information
Practice address
11678 HURON ST STE 150, NORTHGLENN, CO 80234-2929
(303) 366-3882
(303) 366-3845
Mailing address
11678 HURON ST STE 150, NORTHGLENN, CO 80234-2929
(303) 366-3882
(303) 366-3845
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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