MEDICARE: NOOR ADULT DAYCARE LLC

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	:	1972052942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOOR ADULT DAYCARE LLC

Provider Business Mailing Address
First Line	:	1641 S PARKER RD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1641 S PARKER RD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2905
Country	:	US
Telephone Number	:	720-401-6718
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EKHLAS KHALAF
Credential	:
Telephone Number	:	720-401-6718

Provider Enumeration Date	:	10/01/2016
Last Update Date	:	10/01/2016

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Directions to “NOOR ADULT DAYCARE LLC ” Practice Location

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