| NPI | 1699574632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JILO BAH Administrator/Provider 720-216-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |