Provider Demographics
NPI:1407453947
Name:THOMAS-WARE, LINDA MAY
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MAY
Last Name:THOMAS-WARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8959 COLORADO BLVD APT 104
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4094
Mailing Address - Country:US
Mailing Address - Phone:720-427-7363
Mailing Address - Fax:
Practice Address - Street 1:8959 COLORADO BLVD APT 104
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4094
Practice Address - Country:US
Practice Address - Phone:720-427-7363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services