| NPI | 1679089197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA SETIAWAN SIAUW Administrator 720-934-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23D512) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |