| NPI | 1528539012 |
|---|---|
| Doing Business As | ASSISTED LIVING ON BROADWAY |
| Entity Type | Organization |
| Authorized Contact | IREN KASPIN Owner Administrator 720-383-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |