| NPI | 1942453410 |
|---|---|
| Doing Business As | MAKARIOS KIT CARSON |
| Entity Type | Organization |
| Authorized Contact | SUYATNO FNU Owner 720-404-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CO 23R160) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |