Provider Demographics
NPI:1669296372
Name:SUBOTIC, LINDA
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:SUBOTIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BLOOMING CONNECTIONS
Other - Middle Name:
Other - Last Name:ADD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BUSINESS NAME
Mailing Address - Street 1:5475 S FLAT ROCK WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5920
Mailing Address - Country:US
Mailing Address - Phone:303-472-3468
Mailing Address - Fax:
Practice Address - Street 1:5475 S FLAT ROCK WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5920
Practice Address - Country:US
Practice Address - Phone:303-472-3468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-09
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services