Healthcare Provider Details

I. General information

NPI: 1891243689
Provider Name (Legal Business Name): AZA ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10691 E BETHANY DR STE 200
AURORA CO
80014-2623
US

IV. Provider business mailing address

10691 E BETHANY DR STE 200
AURORA CO
80014-2623
US

V. Phone/Fax

Practice location:
  • Phone: 303-696-2600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number171888
License Number StateCO

VIII. Authorized Official

Name: AAZA ABAAS
Title or Position: OWNER
Credential:
Phone: 720-278-9827