person
Mamadou D Diallo
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Aurora, Colorado
NPI 1942663810

Mamadou D Diallo is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Denver, CO. Mamadou D Diallo practices in Aurora, CO. The NPI Number for Mamadou D Diallo is 1942663810 and holds a License No. 160600381 (Colorado).

The current practice location address for Mamadou D Diallo is 11059 E Bethany Dr, Aurora, CO and can be reached out via phone at 303-617-2300.

Location: 11059 E Bethany Dr, Aurora, CO, 80012-2910
person
Provider Profile Details
NPI Number
1942663810
Provider Name
Mamadou D Diallo
Credential
Provider Entity Type
Individual
Gender
Male
Address
11059 E Bethany Dr, Aurora, CO, 80012-2910
Phone Number
303-617-2300
Fax Number
Provider Enumeration Date
03/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11059 E Bethany Dr
City
State
Zip
80014-2622
Phone Number
303-617-2300
Fax Number
person
Provider Business Mailing Address Details
Address
11059 E Bethany Dr
City
State
Zip
80014-2622
Phone Number
303-617-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
160600381 (Colorado)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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