NPI | 1033581475 |
---|---|
Doing Business As | N/A |
Entity Type | Organization |
Authorized Contact | PAUL TERAILLEUR CEO 720-209-2983 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2015-10-26 |
Last Update Date | 2022-07-21 |