Organization · NPI-2

Integrated Transition Care LLC

Day Training/Habilitation Specialist · Aurora, CO

NPI number1366263246
StatusActive
Last updated in NPPESOct 23, 2024

Details

NPI
1366263246
Entity type
Organization (NPI-2)
Legal business name
Integrated Transition Care LLC
Organization subpart
No
Enumeration date
Oct 23, 2024
Certification date
Oct 22, 2024
Last updated
Oct 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

562 Sable Blvd Ste 150
Aurora, CO 80011-0809

Phone 678-755-5601

Mailing address

562 Sable Blvd Ste 150
Aurora, CO 80011-0809

Authorized official

Mariamawit Desta
Owner
6787555601

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