MEDICARE: RELAX ADULT DAYCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	10J548	CO

General Provider Information

NPI Number	:	1578935169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELAX ADULT DAYCARE

Provider Business Mailing Address
First Line	:	2283 S MONACO PKWY
Second Line	:	SUITE 107 & 108
City	:	DENVER
State	:	CO
Zip	:	80222-5845
Country	:	US
Telephone Number	:	303-758-0871
Fax Number	:	303-758-0199

Provider Business Practice Location Address
First Line	:	2283 S MONACO PKWY
Second Line	:	SUITE 107 & 108
City	:	DENVER
State	:	CO
Zip	:	80222-5845
Country	:	US
Telephone Number	:	303-758-0871
Fax Number	:	303-758-0199

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	GEORGE NAZARYAN
Credential	:
Telephone Number	:	303-758-0871

Provider Enumeration Date	:	10/22/2015
Last Update Date	:	10/22/2015

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Directions to “RELAX ADULT DAYCARE ” Practice Location

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