| NPI | 1699149401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAWATI WIRANTONO Administrator 303-947-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23M127) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |