| NPI | 1891290094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAHSA HAILU GEBEYEHU Administrator 720-949-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23P172) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |