| NPI | 1184093759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE AMINOVA Administrator 720-398-9219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: CO 10G502) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2022-06-28 |