| NPI | 1912614314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BRONNENBERG Lead Biller 720-929-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |