BREA DENVER, LLC
Alzheimer Center
Denver, Colorado
Provider NPI: 1912041518
Organization Information:Organization Name: BREA DENVER, LLC
Practice Location:
3790 W QUINCY AVE DENVER, CO 80236 US
Tel: 303-738-8500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3790 W QUINCY AVE DENVER, CO 80236 US
Tel: 303-738-8500 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | CO | AL0230 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
79559301 | CO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin