Provider Demographics
NPI:1881830966
Name:JOHNSON ADULT DAY PROGRAM, INC.
Entity Type:Organization
Organization Name:JOHNSON ADULT DAY PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:IRONS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:720-974-6784
Mailing Address - Street 1:200 E 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2903
Mailing Address - Country:US
Mailing Address - Phone:303-869-4664
Mailing Address - Fax:303-869-2917
Practice Address - Street 1:3444 S EMERSON ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2834
Practice Address - Country:US
Practice Address - Phone:303-789-1519
Practice Address - Fax:303-789-7642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care