| NPI | 1063887990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LILLO Executive Director 303-756-9489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 2304HP) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |