Provider Demographics
NPI:1316665722
Name:DALALITINAJA CENTER
Entity type:Organization
Organization Name:DALALITINAJA CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAI
Authorized Official - Middle Name:THI
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-919-5524
Mailing Address - Street 1:333 S FEDERAL BLVD UNIT 206A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-2950
Mailing Address - Country:US
Mailing Address - Phone:720-919-5524
Mailing Address - Fax:
Practice Address - Street 1:800 S SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80226-8006
Practice Address - Country:US
Practice Address - Phone:720-919-5524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care