MEDICARE: AURORA ADULT DAY CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1245745637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA ADULT DAY CARE INC

Provider Business Mailing Address
First Line	:	1330 S POTOMAC ST STE 118
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-4527
Country	:	US
Telephone Number	:	720-206-7983
Fax Number	:	720-242-6579

Provider Business Practice Location Address
First Line	:	1330 S POTOMAC ST STE 118
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-4527
Country	:	US
Telephone Number	:	720-206-7983
Fax Number	:	720-242-6579

Authorized Official
Title or Position	:	OWNER
Name	:	SAMUEL TATEVOSYAN
Credential	:
Telephone Number	:	720-458-0674

Provider Enumeration Date	:	12/06/2017
Last Update Date	:	06/20/2018

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