Healthcare Provider Details

I. General information

NPI: 1578935169
Provider Name (Legal Business Name): RELAX ADULT DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2283 S MONACO PKWY SUITE 107 & 108
DENVER CO
80222-5845
US

IV. Provider business mailing address

2283 S MONACO PKWY SUITE 107 & 108
DENVER CO
80222-5845
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-0871
  • Fax: 303-758-0199
Mailing address:
  • Phone: 303-758-0871
  • Fax: 303-758-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number10J548
License Number StateCO

VIII. Authorized Official

Name: GEORGE NAZARYAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 303-758-0871