| NPI | 1316497100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEROL J JOHNSTON Owner 303-619-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 2304YQ) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CO 2304U9) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |