Provider Demographics
NPI:1285645382
Name:YULIYA GOSTISHCHEVA
Entity Type:Organization
Organization Name:YULIYA GOSTISHCHEVA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YULIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSTISHCHEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-690-0387
Mailing Address - Street 1:1240 S PARKER RD
Mailing Address - Street 2:#106
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7558
Mailing Address - Country:US
Mailing Address - Phone:720-690-0387
Mailing Address - Fax:303-368-9002
Practice Address - Street 1:1240 S PARKER RD
Practice Address - Street 2:#106
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7558
Practice Address - Country:US
Practice Address - Phone:720-690-0387
Practice Address - Fax:303-368-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based