NPI 1073716494

Divine Dedication Home

Organisation Preferred Provider Organization Aurora, CO

Practice location

Address: 2851 S Parker Rd #428, Aurora, CO 80014-2736
Phone: (303) 751-7077
Mailing address: 2851 S Parker Rd STE 428, Aurora, CO 80014-2802

Authorised official

Name: Raquel L Martin
Title: Admin
Phone: (303) 751-7077

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 251E00000X (CO)

Other Preferred Provider Organization providers in Colorado →

Registry record

NPI: 1073716494
Entity type: Organization
NPI issued: 6 Jun 2007
Record last updated: 12 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.