| NPI | 1912299785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAWATI WIRANTONO Owner/Administrator 303-947-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23D456) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |