Healthcare Provider Details

I. General information

NPI: 1215480926
Provider Name (Legal Business Name): SUMMIT ADULT DAY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9032 W KEN CARYL AVE STE A-1
LITTLETON CO
80128-5251
US

IV. Provider business mailing address

9032 W KEN CARYL AVE STE A-1
LITTLETON CO
80128-5251
US

V. Phone/Fax

Practice location:
  • Phone: 720-922-0100
  • Fax: 720-922-0101
Mailing address:
  • Phone: 720-922-0100
  • Fax: 720-922-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SONJA WOOD
Title or Position: OWNER/MANAGER
Credential:
Phone: 720-922-0100