Organization
ETHOS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISIKER ASEFA (DIRECTOR)
(720) 840-0744
Entity
Organization
Contact information
Practice address
6795 E TENNESSEE AVE STE 1-414, DENVER, CO 80224-1614
(720) 840-0744
Mailing address
6795 E TENNESSEE AVE STE 1-414, DENVER, CO 80224-1614
(720) 840-0744
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
05/18/2023
Last updated
05/18/2023
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