Healthcare Provider Details

I. General information

NPI: 1740050582
Provider Name (Legal Business Name): WHITE DIAMOND EVENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10175 E HAMPDEN AVE
DENVER CO
80231-4905
US

IV. Provider business mailing address

678 S DUDLEY ST
LAKEWOOD CO
80226-3052
US

V. Phone/Fax

Practice location:
  • Phone: 303-999-8498
  • Fax:
Mailing address:
  • Phone:
  • 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: HUSAM ALBARQ
Title or Position: PRESIDENT
Credential:
Phone: 303-999-8498