Healthcare Provider Details

I. General information

NPI: 1275565749
Provider Name (Legal Business Name): CITY OF AURORA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 BOSTON ST
DENVER CO
80230-6004
US

IV. Provider business mailing address

1016 BOSTON ST
DENVER CO
80230-6004
US

V. Phone/Fax

Practice location:
  • Phone: 303-361-0898
  • Fax: 303-340-8697
Mailing address:
  • Phone: 303-361-0898
  • Fax: 303-340-8697

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: MS. KATHERINE NELSON
Title or Position: ADMINISTRATOR
Credential: ED.D.
Phone: 303-326-8710