Healthcare Provider Details

I. General information

NPI: 1992577332
Provider Name (Legal Business Name): NADINA ADULT DAYCARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10630 E BETHANY DR STE C
AURORA CO
80014-2651
US

IV. Provider business mailing address

10630 E BETHANY DR STE C
AURORA CO
80014-2651
US

V. Phone/Fax

Practice location:
  • Phone: 408-332-6400
  • Fax:
Mailing address:
  • Phone: 408-332-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MISS MONA ALEMU FISAHA
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 408-332-6400