Provider Demographics
NPI:1104009547
Name:SALIDA SENIOR DAY CARE
Entity Type:Organization
Organization Name:SALIDA SENIOR DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRADEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-539-4396
Mailing Address - Street 1:PO BOX 44
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-0044
Mailing Address - Country:US
Mailing Address - Phone:719-539-4396
Mailing Address - Fax:
Practice Address - Street 1:348 G ST
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2021
Practice Address - Country:US
Practice Address - Phone:719-539-4396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty