Provider Demographics
NPI:1669615688
Name:THE DACCARDI CENTER FOR NATURAL HEALTH
Entity type:Organization
Organization Name:THE DACCARDI CENTER FOR NATURAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:DACCARDI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:970-224-2261
Mailing Address - Street 1:1939 WILMINGTON DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-6404
Mailing Address - Country:US
Mailing Address - Phone:970-224-2261
Mailing Address - Fax:
Practice Address - Street 1:1939 WILMINGTON DR
Practice Address - Street 2:SUITE 102
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-6404
Practice Address - Country:US
Practice Address - Phone:970-224-2261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service