| NPI | 1144855594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EYERUSALEM MENGESHA Director 303-632-8383 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2024-07-26 |