Healthcare Provider Details

I. General information

NPI: 1316665722
Provider Name (Legal Business Name): DALALITINAJA CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2022
Last Update Date: 08/22/2022
Certification Date: 08/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S SHERIDAN BLVD
DENVER CO
80226-8006
US

IV. Provider business mailing address

333 S FEDERAL BLVD UNIT 206A
DENVER CO
80219-2950
US

V. Phone/Fax

Practice location:
  • Phone: 720-919-5524
  • Fax:
Mailing address:
  • Phone: 720-919-5524
  • 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: LAI THI HOANG
Title or Position: DIRECTOR
Credential:
Phone: 720-919-5524