Organization Name: | THOMAS JEFFERSON DAY CENTER |
NPI Number: | 1023388352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH ONG (DIRECTOR) |
Mailing Address: | 5922 S Birch Way Centennial |
State: | CO US |
Postal Code: | 801213369 |
Phone Number: | 7209825732 |
Fax Number: | 3032008437 |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | 922447943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |