| NPI | 1568864981 |
|---|---|
| Doing Business As | ST PETRO LAUREL HAUS |
| Entity Type | Organization |
| Authorized Contact | LYLE A CAMPBELL Administrator 303-941-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23I963) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |