| NPI | 1952111973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIN LIU Dnp 720-402-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QP3300X Clinic/Center Pain | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |