Basic Information
| Provider Information | |||||||||
| NPI: | 1336687508 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YAHIA | ||||||||
| FirstName: | SAADIA | ||||||||
| MiddleName: | MAGDI | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14701 E 18TH PL | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800114422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7203416711 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14801 E 18TH PLACE | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033646704 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2017 | ||||||||
| LastUpdateDate: | 02/07/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320600000X | 16-335-0910 | CO | Y | Residential Treatment Facilities | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
No ID Information.