Healthcare Provider Details

I. General information

NPI: 1063681112
Provider Name (Legal Business Name): ART INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13140 E MISSISSIPPI AVE
AURORA CO
80012-3427
US

IV. Provider business mailing address

13140 E MISSISSIPPI AVE
AURORA CO
80012-3427
US

V. Phone/Fax

Practice location:
  • Phone: 720-748-2603
  • Fax: 720-747-8239
Mailing address:
  • Phone: 720-748-2603
  • Fax: 720-747-8239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number10E529
License Number StateCO

VIII. Authorized Official

Name: ARUTYUN O AVAKYAN
Title or Position: SECRETARY
Credential:
Phone: 720-748-2603