Provider Demographics
NPI:1407413917
Name:GIANNA'S ANGELS DAY PROGRAM INC
Entity Type:Organization
Organization Name:GIANNA'S ANGELS DAY PROGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:VARONA GRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-620-6406
Mailing Address - Street 1:2720 S HAVANA ST UNIT EF
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-8606
Mailing Address - Country:US
Mailing Address - Phone:303-620-6406
Mailing Address - Fax:
Practice Address - Street 1:2720 S HAVANA ST UNIT E&F
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-8606
Practice Address - Country:US
Practice Address - Phone:303-620-6406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services