| NPI | 1144699059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARASATY SOEKARSO Administrator 720-388-5249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 2304TZ) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |